Organization Active NPI

Smith Physical Therapy and Sports Medicine

  • Physical Therapist
  • Marlette, MI
National Provider Identifier
1174703177
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012409 Issued in MI
Legal business name
SMITH PHYSICAL THERAPY AND SPORTS MEDICINE
Practice address
6444 Morris St
Marlette, MI 48453-1398
Phone
(810) 256-0016
Fax
(888) 980-9651
NPI assigned
Nov 7, 2007
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Joseph Smith Jr., PT/DPT/ATCNPI 1922066471
Title
Manager
Phone
(989) 390-1825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501012409 MI Primary

Addresses

Primary practice location

6444 Morris St
Marlette, MI 48453-1398

Mailing address

7516 Country Pride LN
Imlay City, MI 48444-9530
Phone (989) 390-1825

Other practice location 1

7516 Country Pride Ln
Imlay City, MI 48444-9530
Phone (989) 390-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080119000050 MI Part B Supplier - Clinic/Group Practice 0345321030 Receives reassigned benefits from 1 practitioner
Practice locations: Imlay City, MI; Marlette, MI

National Provider Directory

National Provider Directory

Locations

6444 Morris St
Marlette, MI 48453
Phone (989) 390-1825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1174703177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 COUNTRY PRIDE LN",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449530",
            "telephone_number": "989-390-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 MORRIS ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531398",
            "telephone_number": "810-256-0016",
            "fax_number": "888-980-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7516 Country Pride Ln",
            "address_purpose": "LOCATION",
            "city": "Imlay City",
            "state": "MI",
            "postal_code": "484449530",
            "country_code": "US",
            "telephone_number": "989-390-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMITH PHYSICAL THERAPY AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-390-1825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT/DPT/ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.