AMY KAY SMITH (PT, DPT) – Physical Therapist, NPI 1144988817

AMY KAY SMITH (PT, DPT) is a healthcare provider. based in Holland, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501021610 (MI). The NPI Number for AMY KAY SMITH (PT, DPT) is 1144988817

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
AMY KAY SMITH (PT, DPT)
NPI
1144988817
Phone
(616) 212-8067
Address
6480 WILD CREEK DR
Enumeration Date
30 November 2021
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6169942770
Graduation Year
2021 (5 years ago)
PAC ID
6103201637
Group Practice PAC ID
4183868094
Professional Enrollment ID
I20220919002702
Address ID
MI494248122HO3100XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for AMY KAY SMITH (PT, DPT)

  • 6480 WILD CREEK DR

    HOLLAND, MI 494237610

    Phone: (616) 212-8067

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220919002702IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 49423)

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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: 4183868094View full group profile
NameSpecialtyState
Qualified AudiologistMI
Physician AssistantMI
Physician AssistantMI
Qualified AudiologistMI
Qualified AudiologistMI
Qualified AudiologistMI
Physician AssistantMI
Physician AssistantFL
O T O L A R Y N G O L O G YMI
Physician AssistantIN

Reviews

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Frequently asked questions

Is AMY KAY SMITH (PT, DPT) listed with a National Provider Identifier?
Yes — AMY KAY SMITH (PT, DPT) has NPI 1144988817 on file in the registry.
Is there an active status for AMY KAY SMITH (PT, DPT)?
For scheduling context, AMY KAY SMITH (PT, DPT) is shown as active in the registry.
What area of care is associated with AMY KAY SMITH (PT, DPT)?
AMY KAY SMITH (PT, DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMY KAY SMITH (PT, DPT)?
Travel planning: use Holland, Michigan as the reference point for AMY KAY SMITH (PT, DPT), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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