Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark David Smith, PT

Individual provider Physical Therapist · NPI 1316995525

Mark David Smith, PT is a Physical Therapist in Private Practice in Rice Lake, Wisconsin. Graduated from University of Minnesota Medical School in 1998, 28 years ago. Practices with Chippewa Valley Orthopedics and Sports Medicine Clinic SC, a 30-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
28
Trained at
University of Minnesota Medical School
Licensed in
WI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2600 S Wisconsin Ave Ste A
Rice Lake, WI 54868-7527
Phone: (715) 855-0430
Fax: (715) 236-3615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6121024 (WI)

Record details

NPI number1316995525
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address517 E Clairemont Ave, Eau Claire, WI 54701-6479

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1998 (28 years in practice)
Group practice Chippewa Valley Orthopedics And Sports Medicine Clinic Sc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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