STACEY N SMITH (DPT) – Physical Therapist, NPI 1063820702

STACEY N SMITH (DPT) is a healthcare provider. based in Wichita, Kansas. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 11-04908 (KS). The NPI Number for STACEY N SMITH (DPT) is 1063820702

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
STACEY N SMITH (DPT)
NPI
1063820702
Phone
(316) 263-0003
Address
200 W DOUGLAS AVE
Enumeration Date
25 July 2014
Last Update Date
3 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3164403731
Graduation Year
2014 (12 years ago)
PAC ID
0143448746
Group Practice PAC ID
2264681097
Professional Enrollment ID
I20140822002001
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for STACEY N SMITH (DPT)

  • 200 W DOUGLAS AVE

    STE 1040

    WICHITA, KS 672023013

    Phone: (316) 263-0003

    Fax: (316) 263-1241

    Type: Mailing

  • 834 N SOCORA ST STE 1

    WICHITA, KS 672123279

    Phone: (316) 440-3731

    Fax: (316) 440-3741

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67202)

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Provider's Procedures

STACEY N SMITH (DPT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYKS97001Physical therapy evaluation8378
PHYSICAL THERAPYKS97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1130108

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264681097View full group profile
NameSpecialtyState
ANGELA GERSTENKORN
Occupational Therapist In Private PracticeKS
LINDA A BRENNAN (PT)
Physical Therapist In Private PracticeKS
JARED DONALD GERSTENKORN (DPT)
-MO
ASHTON W REICHMANN (DPT)
-PA
COREY PAUL RATZLAFF (DPT)
-KS
ASHLEY DE LOS REYES
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

How is STACEY N SMITH (DPT) identified in CMS data?
CMS-hosted NPPES data lists STACEY N SMITH (DPT) with NPI 1063820702.
Does the file indicate STACEY N SMITH (DPT) is practicing under active NPI?
Directory data currently reports STACEY N SMITH (DPT) as active.
What healthcare role does STACEY N SMITH (DPT) hold?
Scheduling teams often label STACEY N SMITH (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is STACEY N SMITH (DPT) based?
STACEY N SMITH (DPT) is tied to Wichita, Kansas in the data we show; additional addresses may exist on the full record.
Why does STACEY N SMITH (DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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