MR. KENNETH W SMITH (P.T.) – Physical Therapist, NPI 1184773954

MR. KENNETH W SMITH (P.T.) is a healthcare provider. based in Prineville, Oregon. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 0963 (OR). The NPI Number for MR. KENNETH W SMITH (P.T.) is 1184773954

Main info

Male
Sole Proprietor
Name
MR. KENNETH W SMITH (P.T.)
NPI
1184773954
Phone
(541) 447-6846
Address
1251 NE ELM ST
Enumeration Date
9 January 2007
Last Update Date
9 October 2007
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

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Provider Addresses for MR. KENNETH W SMITH (P.T.)

  • 1251, Northeast Elm Street, Ochoco Pointe Neighborhood Sign, Prineville, Crook County, Oregon, 97754, United States

    STE 2-A

    PRINEVILLE, OR 977541206

    Phone: (541) 447-6846

    Fax: (541) 447-1243

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 97754)

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Provider's Procedures

MR. KENNETH W SMITH (P.T.) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOR97001Physical therapy evaluation280247
PHYSICAL THERAPYOR97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4838268

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Frequently asked questions

How do payers reference MR. KENNETH W SMITH (P.T.)?
For MR. KENNETH W SMITH (P.T.), use NPI 1184773954 as the unique 10-digit identifier.
Is MR. KENNETH W SMITH (P.T.) still an active registrant?
MR. KENNETH W SMITH (P.T.) carries an active NPI according to the public dataset.
What expertise is attributed to MR. KENNETH W SMITH (P.T.)?
MR. KENNETH W SMITH (P.T.)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. KENNETH W SMITH (P.T.)?
Travel planning: use Prineville, Oregon as the reference point for MR. KENNETH W SMITH (P.T.), then confirm.
When was this NPI issued?
Enumeration for MR. KENNETH W SMITH (P.T.) is noted as January 9, 2007 where the registry provides it.

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