Individual provider Active NPI

Stephanie Lynn-King Smit, PT

  • Physical Therapist
  • Wyoming, MI
National Provider Identifier
1841248655
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010858 Issued in MI
Practice address
1535 44TH St SW
Wyoming, MI 49509-4481
Phone
(616) 530-1977
Fax
(616) 530-2140
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010858 MI Primary

Addresses

Primary practice location

1535 44TH St SW
Wyoming, MI 49509-4481

Mailing address

7727 Bluebird Dr
Jenison, MI 49428-7962
Phone (616) 667-3166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180716000645 MI Practitioner - Physical Therapist in Private Practice 3173870698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hulst Jepsen Physical Therapy IncGroup PAC ID 8325033285, 132 clinicians

Practice addresses (Care Compare)

1535 44TH St SW
Wyoming, MI 49509-4481
Phone (616) 530-1977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501010858MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hulst Jepsen Physical Therapy Inc Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Select Medical PastSince Jul 1, 2018 Accepting new patients

Locations

2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144

4761 Lake Michigan Dr NW
Ste A
Grand Rapids, MI 49534
Phone (616) 608-9978

1535 44th St SW
Wyoming, MI 49509
Phone (616) 281-1144

1621 44th St SW
Ste 300
Wyoming, MI 49509
Phone (512) 328-6774

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841248655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 BLUEBIRD DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287962",
            "telephone_number": "616-667-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094481",
            "telephone_number": "616-530-1977",
            "fax_number": "616-530-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIT",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN-KING",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.