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

Mr. Michael Earl Smith, PTATC

Individual provider Athletic Trainer · NPI 1396705760

Mr. Michael Earl Smith, PTATC is a Physical Therapist in Private Practice in Gorham, Maine. Qualified in 1993, 33 years ago. Practices with Village Physical Therapy Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
33
Licensed in
ME
In the registry since
2006
Specialties on file
2

Practice location Address checks out

347 Main St Unit 1
Gorham, ME 04038-1338
Phone: (207) 839-9090
Fax: (207) 839-9091
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1931 (ME)
Athletic Trainer Taxonomy 2255A2300X · Licence AT267 (ME)

Record details

NPI number1396705760
Entity typeIndividual (Type 1)
GenderMale
Credentials PTATC
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023
Mailing address347 Main St Unit 1, Gorham, ME 04038-1338

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Village Physical Therapy Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gorham