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

Mark Gerard Smith, DPT

Individual provider Orthopedic Physical Therapist · NPI 1730586777

Mark Gerard Smith, DPT is a Physical Therapist in Private Practice in Poplar Bluff, Missouri. Qualified in 2014, 12 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

225 Physicians Park Ste 101
Poplar Bluff, MO 63901-3956
Phone: (573) 778-9348
Fax: (573) 686-4870
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 2014039475 (MO)

Record details

NPI number1730586777
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 19, 2014
Last updated in NPPESJuly 30, 2019
Mailing address4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount