MARK GERARD SMITH DPT
NPI 1730586777
Physical Therapist - Orthopedic in Poplar Bluff, MO

Q: 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.

Q: What is Mark Smith's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: 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.

Active since November 19, 2014Accepts Medicare Assignment

225 PHYSICIANS PARK, SUITE 101, POPLAR BLUFF, MO 63901(573) 778-9348(573) 686-4870 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1730586777

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameMARK GERARD SMITHCredential: DPT

Location Address225 PHYSICIANS PARK, SUITE 101Poplar Bluff, MO 63901-3956

Mailing Address4273 Keaton Crossing BlvdO Fallon, MO 63368-8220 · (636) 206-4225 · Fax (636) 422-1051

Phone(573) 778-9348

Fax(573) 686-4870

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 19, 2014

Last NPPES UpdateJuly 30, 2019

✔ NPI 1730586777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in MO · 2014039475

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

225 PHYSICIANS PARK, Poplar Bluff, MO 63901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1658695820

PECOS Enrollment IDI20150116000389

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SSM NEUROSCIENCES, INC.

Neurological Surgery

225 PHYSICIANS PARK, SUITE 102
POPLAR BLUFF, MO 63901

Butler County (636) 496-3900

INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC

Clinic/Center (Rural Health)

225 PHYSICIANS PARK
POPLAR BLUFF, MO 63901

Butler County (573) 727-5500

SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC

In Home Supportive Care

225 PHYSICIANS PARK, SUITE 301
POPLAR BLUFF, MO 63901

Butler County (573) 686-2273

EMILY HOPWOOD FNP-C

Nurse Practitioner (Family)

225 PHYSICIANS PARK
POPLAR BLUFF, MO 63901

Butler County (573) 727-5500

VANESSA ADAMS NP-C

Nurse Practitioner (Family)

225 PHYSICIANS PARK, STE 203
POPLAR BLUFF, MO 63901

Butler County (573) 686-4750

MRS. PHYLLIS ANN HANSEN NP

Nurse Practitioner

225 PHYSICIANS PARK, SUITE 203
POPLAR BLUFF, MO 63901

Butler County (573) 686-4750

BLACK RIVER MEDICAL GROUP, LLC

Surgery

225 PHYSICIANS PARK, SUITE 204
POPLAR BLUFF, MO 63901

Butler County (573) 785-4601

SONYA D DICIRO F.N.P.

Nurse Practitioner

225 PHYSICIANS PARK, SUITE 400
POPLAR BLUFF, MO 63901

Butler County (573) 727-5500

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.

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.