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Active NPI 1386116663 Individual Practitioner Male Practitioner

Peter Mauthe Smith , PT

Physical Therapist • De Pere, WI

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Peter Smith, PT is a registered Physical Therapist practitioner in De Pere, WI. With approximately 9 years of clinical practice since completing medical education in 2017, Peter Smith provides healthcare services at the registered practice location at 1601 LAWRENCE DR STE 100.

Peter Smith is affiliated with St Vincent Hospital-Hospital Sisters-Third Order Of St Francis and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1601 Lawrence Dr Ste 100

De Pere, WI 541153931

Telephone 9204964700
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in De Pere, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -1.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
43 Specialists

Practicing in De Pere, WI (6638 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (9 Years) 9 Yrs
De Pere Specialty Average (10.5 Years) 10.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-07
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License WI 16571-24

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100297718 (WI)

Hospital & Practice Group Affiliations

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

1601 Lawrence Dr, De Pere, WI 541153931

Phone: 9204964700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003080102

Doctor of Podiatric Medicine

NPI 1003131061

Doctor of Podiatric Medicine

Cassandra Vanstraten , LPC

Counselor - Mental Health

NPI 1003478793

Licensed Professional Counselor

Rachel Rejniak , AGPCNP-BC

Nurse Practitioner - Gerontology

NPI 1003537150

AGPCNPBC

Junhong Pace , NP

Nurse Practitioner - Family

NPI 1003597063

Nurse Practitioner

NPI 1003831314

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 07, 2025

Registered at 1601 LAWRENCE DR STE 100, DE PERE, WI 541153931 (Tel: 9204964700)

📍
Updated Business Mailing Address January 07, 2025

Registered at PO BOX 19070, GREEN BAY, WI 543079070 (Tel: 9204964700)

👤
Provider Name / Credentials Updated January 07, 2025

Recorded as PETER SMITH, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2025

Physical Therapist (License #16571-24 in WI)

📍
Updated Practice Location November 14, 2024

Registered at 1601 LAWRENCE DR, DE PERE, WI 541153931 (Tel: 9204964700)

NPI Profile Active December 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2018

Registered at 1450 E FAIRVIEW AVE STE 201, MERIDIAN, ID 836421819 (Tel: 2088876757)

📍
Updated Business Mailing Address December 26, 2018

Registered at PO BOX 711185, SALT LAKE CITY, UT 841711185

👤
Provider Name / Credentials Updated December 26, 2018

Recorded as PETER SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2018

Physical Therapist

🟢
Initial NPI Registration & Enumeration December 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386116663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2018
Last Update: January 07, 2025
Sole Proprietor: No

Mailing Address

Po Box 19070

Green Bay, WI 543079070

Phone: 9204964700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.