MARK S SMITH (NPI# 1871517334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871517334 |
| Entity Type | Individual |
| Full Name | MARK S SMITH |
| Credential | P.T., A.T.,C. |
| Practice Address |
78 Kenrick Plz Saint Louis MO 63119-4414 |
| Practice Telephone | 3149628020 |
| Practice Fax Number | 3149626570 |
| Mailing Telephone | 3149628020 |
| Mailing Fax Number | 3149626570 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
MO 01472 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
MO 108986 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871025668 | Mark Robert Smith | Physical Therapist | 11448 Princessa Ln, Jacksonville, FL 32218-4054 | 2017-03-30 |
| 1982148565 | Mark Smith Jr. | Pharmacist | 2850 Venice Rd Sw, Apt 3303, Birmingham, AL 35211-6203 | 2016-12-15 |
| 1396124558 | Mark Andrew Smith | Physical Therapist | 125 S Mcdaniel Dr, Auburn, CA 95603-5742 | 2015-05-21 |
| 1760875181 | Mark Smith | Case Manager/Care Coordinator | 4028 Knollton Rd, Indianapolis, IN 46228-3332 | 2015-03-09 |
| 1366833154 | Mark James Smith | Pharmacist | 2627 Oneida St, Utica, NY 13501-6332 | 2015-02-15 |
| 1568869824 | Mark Smith | Occupational Therapy Assistant | 1160 Old State Rd, New Castle, PA 16101-6417 | 2014-12-01 |
| 1992128581 | Mark Harrison Smith | Case Manager/Care Coordinator | 346 Sycamore Ridge Way, Gahanna, OH 43230-5605 | 2014-02-03 |
| 1881967263 | Mark Steven Smith | Dentist | 7685 Wolf River Cir Ste 102, Germantown, TN 38138-1749 | 2012-02-16 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1053628271 | Mark Thomas Smith | Optometrist | 592 Main St N, Mc Kenzie, TN 38201-1707 | 2010-09-09 |
| Street Address |
78 KENRICK PLZ |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568484681 | South St. Louis Rehabilitation Institute, Inc. | Occupational Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2006-07-25 |
| 1114303369 | Kevin Murray | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2015-08-10 |
| 1639502610 | Todd A Chollet | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2013-08-14 |
| 1205184066 | Aaron A Degreeff | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2012-08-27 |
| 1336407899 | Carolyn A Hopfinger | Speech-Language Pathologist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2012-05-02 |
| 1063798288 | Stacie L Luter | Occupational Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2011-11-02 |
| 1861633521 | Jenna Marie Hagedorn | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2009-03-10 |
| 1902073299 | William B Jennings | Specialist/Technologist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2008-05-15 |
| 1275757114 | Douglas R Casper | Physical Therapy Assistant | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2007-04-12 |
| 1902920291 | Karen Schmidt | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114303369 | Kevin Murray | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2015-08-10 |
| 1639502610 | Todd A Chollet | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2013-08-14 |
| 1205184066 | Aaron A Degreeff | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2012-08-27 |
| 1528339629 | Keith Sanders | Physical Therapist | 1000 Camera Ave, Saint Louis, MO 63126-1037 | 2012-01-20 |
| 1952551590 | Diana C Gray | Physical Therapist | 11135 Manchester Rd, Saint Louis, MO 63122-1253 | 2008-09-19 |
| 1902920291 | Karen Schmidt | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2007-03-19 |
| 1881606333 | Megan M Yemm | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2006-08-13 |
| 1518981992 | William P Hopfinger | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2006-07-27 |
| 1568486132 | Julie M Davitz | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2006-07-27 |
| 1043234511 | Jay W Zaber | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2006-07-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63119 |
Please comment or provide details below to improve the information on MARK S SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.