MARK GERARD SMITH DPT
NPI 1730586777
Physical Therapist - Orthopedic in Poplar Bluff, MO
About Mark Gerard Smith Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK GERARD SMITH DPT (NPI 1730586777) is an individual orthopedic provider in Poplar Bluff, Missouri, licensed in Missouri (2014039475) and active in the NPI registry since November 2014. He is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Gerard Smith Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mark Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Liberty, MO 64068
- Reassigned Medicare billing, Missouri enrollment
- 269 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Smith's NPI number?
The NPI number for Mark Smith is 1730586777. It was assigned to this individual provider in the NPPES registry on November 19, 2014.
Where is Mark Smith located?
Mark Smith practices at 225 Physicians Park Suite 101, Poplar Bluff, MO 63901. The listed phone number is (573) 778-9348.
What is Mark Smith's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Mark Smith enrolled in Medicare?
Yes. Mark Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mark Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Smith reassigns Medicare benefits to Athletico Ltd (Liberty, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Smith was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mark Gerard Smith, DPT · NPI 1730586777
Orthopedic provider in Poplar Bluff, Missouri. Individual provider, active in the CMS NPPES registry since November 19, 2014.
## Identity
- **NPI:** 1730586777 (Entity type: Individual)
- **Enumerated:** November 19, 2014
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 2014039475 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 PHYSICIANS PARK, SUITE 101, Poplar Bluff, MO 63901-3956
- **Phone:** (573) 778-9348 · **Fax:** (573) 686-4870
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Athletico Ltd (NPI 1114449857, Liberty, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1730586777) · Data from the CMS NPPES public registry.