Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emma Kate Stoller Smith

Individual provider Orthopedic Physical Therapist · NPI 1639988504

Emma Kate Stoller Smith is a Physical Therapist in Private Practice in Washington, Illinois. Qualified in 2021, 5 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2025

Practice location Address checks out

62 Cherry Tree Shopping Ctr
Washington, IL 61571-2170
Phone: (309) 481-3081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1639988504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 4, 2025
Last updated in NPPESJanuary 4, 2025
Certification dateJanuary 4, 2025
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount