ELIZABETH SMITH (PT) – Physical Therapist, NPI 1457449225

ELIZABETH SMITH (PT) is a healthcare provider. based in Lake elmo, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4893 (MN). The NPI Number for ELIZABETH SMITH (PT) is 1457449225

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH SMITH (PT)
NPI
1457449225
Phone
Not provided
Address
11622 LITTLE BLUESTEM CIR N
Enumeration Date
10 October 2006
Last Update Date
5 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6126722350
Graduation Year
1989 (37 years ago)
PAC ID
2466460720
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20060328000436
Address ID
MN554143205MI2535XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for ELIZABETH SMITH (PT)

  • 11622, Little Bluestem Circle North, The Fields of Saint Croix, Lake Elmo, Washington County, Minnesota, 55042, United States

    LAKE ELMO, MN 550427523

    Phone:

    Type: Mailing

  • 2525, University Avenue Southeast, Prospect Park - East River Road, Minneapolis, Hennepin County, Minnesota, 55414, United States

    MINNEAPOLIS, MN 554143205

    Phone: (612) 672-6697

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-28

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
I20060328000436IPhysical Therapist In Private PracticeMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes11322$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes9324$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7326$0
97161Evaluation for physical therapy, typically 20 minutes1817$0
97530Therapy procedure using functional activities1511$0
View full utilization report →

Insurance plans in this area (ZIP 55042)

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Provider's Procedures

ELIZABETH SMITH (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97001Physical therapy evaluation1717

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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Is there an official ID for ELIZABETH SMITH (PT) in U.S. healthcare records?
The official identifier for ELIZABETH SMITH (PT) is NPI 1457449225.
Would ELIZABETH SMITH (PT) appear as active to a payer?
You can treat ELIZABETH SMITH (PT) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ELIZABETH SMITH (PT)'s focus?
For ELIZABETH SMITH (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ELIZABETH SMITH (PT) located near Lake Elmo?
ELIZABETH SMITH (PT) currently maps to Lake Elmo, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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