JESSICA ROSE SMITH (DPT) – Physical Therapist, NPI 1710626486

JESSICA ROSE SMITH (DPT) is a healthcare provider. based in New richmond, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 15795-24 (WI). The NPI Number for JESSICA ROSE SMITH (DPT) is 1710626486

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ROSE SMITH (DPT)
NPI
1710626486
Phone
(715) 246-3809
Address
471 S ARCH AVE
Enumeration Date
1 June 2022
Last Update Date
1 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7482463809
Graduation Year
2022 (4 years ago)
PAC ID
9436539608
Group Practice PAC ID
2466429741
Professional Enrollment ID
I20220706000365
Address ID
WI540171832NE471XXAVEX401
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

2,000 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for JESSICA ROSE SMITH (DPT)

  • 471 S ARCH AVE

    NEW RICHMOND, WI 540171832

    Phone: (715) 246-3809

    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: 2022-07-06

PECOS data refreshed: 2026-06-15

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
I20220706000365IPhysical Therapist In Private PracticeWITBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes77254$0
97530Therapy procedure using functional activities47452$0
97140Therapy procedure using manual technique, each 15 minutes14530$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9820$0
97116Therapy procedure for walking training, each 15 minutes3115$0
View full utilization report →

Insurance plans in this area (ZIP 54017)

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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: 2466429741View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

How do I look up JESSICA ROSE SMITH (DPT) by NPI?
Use NPI 1710626486 when you need to reference JESSICA ROSE SMITH (DPT) in forms, claims, or directories.
Is JESSICA ROSE SMITH (DPT) currently active in the NPI registry?
CMS-published data lists JESSICA ROSE SMITH (DPT) as an active registrant.
Does JESSICA ROSE SMITH (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for JESSICA ROSE SMITH (DPT). Clinical services aligned with this taxonomy classification.
Does JESSICA ROSE SMITH (DPT) practice in Wisconsin?
You will see New Richmond, Wisconsin on file for JESSICA ROSE SMITH (DPT) alongside any extra practice locations.
How can I contact JESSICA ROSE SMITH (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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