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

Kevin Smith

Individual provider Orthopedic Physical Therapist · NPI 1295166411

Kevin Smith is a Physical Therapist in Private Practice in Watertown, New York. Qualified in 2013, 13 years ago. Practices with Cani PT OT SLP and Psychology PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013

Practice location Address checks out

19472 US Route 11
Watertown, NY 13601-5387
Phone: (315) 782-3941
Fax: (315) 782-8967
Show map & directions

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

Additional practice locations (1)

  • 3061 State Route 28, Herkimer, NY 13350-1041 — (315) 717-0020

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 037040-1 (NY)

Record details

NPI number1295166411
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 13, 2013
Last updated in NPPESMarch 6, 2019
Mailing address3061 State Route 28, Herkimer, NY 13350-1041

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Cani Pt Ot Slp And Psychology Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount