KRISTIN M SMITH (PT) – Physical Therapist, NPI 1780964536

KRISTIN M SMITH (PT) is a healthcare provider. based in Connellsville, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT021314 (PA). The NPI Number for KRISTIN M SMITH (PT) is 1780964536

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN M SMITH (PT)
NPI
1780964536
Phone
(724) 628-7288
Address
208 S ARCH ST
Enumeration Date
25 August 2011
Last Update Date
26 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7249385806
Graduation Year
2011 (15 years ago)
PAC ID
3173795358
Group Practice PAC ID
0941113104
Professional Enrollment ID
I20111012000302
Address ID
PA154191341CA250XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for KRISTIN M SMITH (PT)

  • 208 S ARCH ST

    CONNELLSVILLE, PA 154253519

    Phone: (724) 628-7288

    Fax: (724) 628-7299

    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: 2011-10-12

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
I20111012000302IPhysical Therapist In Private PracticePATBD

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 15425)

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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: 0941113104View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA

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Frequently asked questions

What is the 10-digit NPI for KRISTIN M SMITH (PT)?
KRISTIN M SMITH (PT) — NPI 1780964536 — is the standard way to identify this listing.
Does the file indicate KRISTIN M SMITH (PT) is practicing under active NPI?
Directory data currently reports KRISTIN M SMITH (PT) as active.
What healthcare role does KRISTIN M SMITH (PT) hold?
Scheduling teams often label KRISTIN M SMITH (PT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is KRISTIN M SMITH (PT) based?
KRISTIN M SMITH (PT) is tied to Connellsville, Pennsylvania in the data we show; additional addresses may exist on the full record.
Why does KRISTIN M SMITH (PT) 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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