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IAN MICHAEL SMITH
NPI 1922630607
Specialist/Technologist - Athletic Trainer in Lake St Louis, MO

Active since February 10, 2020
2275 SOMMERS RD, LAKE ST LOUIS, MO 63367(636) 561-0075 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ian Michael Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN MICHAEL SMITH (NPI 1922630607) is an individual athletic trainer provider in Lake St Louis, Missouri, licensed in Missouri (2017022695) and active in the NPI registry since February 2020. He maintains a secondary practice location in Lake St Louis.

NPPES Registry Identity

NPI1922630607
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameIAN MICHAEL SMITH
Location Address2275 SOMMERS RDLake St Louis, MO 63367-6406
Mailing Address110 Rock Bridge RdVilla Ridge, MO 63089-2006 · (636) 221-0091
Phone(636) 561-0075
Sole ProprietorNo
Enumeration DateFebruary 10, 2020
✔ NPI 1922630607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MO · 2017022695
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
2275 SOMMERS RD, Lake St Louis, MO 63367
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Secondary Practice Location 1

Location 16309 Ronald Reagan DrLake St Louis, MO 63367-2681 · Phone (636) 755-4566

Other Providers at the Same Location NPPES

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

MRS. MCKENSEY MARIE WHITCHURCH COTA
Occupational Therapy Assistant
2275 SOMMERS RD
LAKE ST LOUIS, MO 63367
St. Charles County (636) 561-0075

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 Ian Smith's NPI number?

The NPI number for Ian Smith is 1922630607. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Ian Smith located?

Ian Smith practices at 2275 Sommers Rd, Lake St Louis, MO 63367. The listed phone number is (636) 561-0075.

What is Ian Smith's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Ian Smith was last updated on February 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.