MR. KIP A SMITH (P.T.) – Chiropractor, NPI 1497854392

MR. KIP A SMITH (P.T.) is a healthcare provider. based in Milaca, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials P.T.. They hold a License No. 9466 (MN). The NPI Number for MR. KIP A SMITH (P.T.) is 1497854392

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. KIP A SMITH (P.T.)
NPI
1497854392
Phone
(320) 362-7900
Address
115 1ST ST W
Enumeration Date
21 September 2006
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3203627900
Graduation Year
1995 (31 years ago)
PAC ID
2567365232
Professional Enrollment ID
I20190621001982
Address ID
MN563531571MI120XXNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for MR. KIP A SMITH (P.T.)

  • 115, 1st Street West, Milaca, Mille Lacs County, Minnesota, 56353, United States

    # 3

    MILACA, MN 563531101

    Phone: (320) 362-7900

    Fax: (320) 362-7904

    Type: Location

  • 120 CENTRAL AVE N STE C

    MILACA, MN 563531571

    Phone: (320) 362-7900

    Fax: (855) 710-7495

    Type: Mailing

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: 2019-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170526000053IPhysical Therapist In Private PracticeMNTBD
I20190621001982IChiropracticMNTBD

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 minutes64723$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17923$0
97161Evaluation for physical therapy, typically 20 minutes1812$0
View full utilization report →

Insurance plans in this area (ZIP 56353)

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Reviews

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Frequently asked questions

What identifier follows MR. KIP A SMITH (P.T.) across health systems?
The NPI 1497854392 uniquely identifies MR. KIP A SMITH (P.T.) in U.S. healthcare data.
Does the public listing show MR. KIP A SMITH (P.T.) as active?
MR. KIP A SMITH (P.T.)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. KIP A SMITH (P.T.)?
NPPES ties MR. KIP A SMITH (P.T.) to Chiropractor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. KIP A SMITH (P.T.)?
MR. KIP A SMITH (P.T.) shows a connection to Milaca, Minnesota in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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