Mark David Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6121024 Issued in WI

Practice address

2600 S Wisconsin Ave Ste a
Rice Lake, WI 54868-7527

Phone

(715) 855-0430

Fax

(715) 236-3615

NPI assigned

May 4, 2006

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Minnesota Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chippewa Valley Orthopedics and Sports Medicine Clinic SCGroup PAC ID 7618948399, 30 clinicians

Optimum Therapies of Rice LakeGroup PAC ID 3678904042, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.3 of 100Reported as group

Quality

99.17

Improvement activities

40

Cost

82.1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chippewa Valley Orthopedics and Sports Medicine Clinic SC

  • Orthopaedic Surgery Physician
  • Altoona, WI
  • NPI 1699778829
  Medicare reassignment Care Compare group NPD
• Optimum Therapies of Rice Lake

  • Physical Therapy Clinic/Center
  • Rice Lake, WI
  • NPI 1992338909

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Optimum Therapies, LLC

  • Physical Medicine & Rehabilitation Physician
  • Menomonie, WI
  • NPI 1356463087

  Physical Therapist

  Medicare reassignment NPD
• Chippewa Valley Orthopedics and Sports Medicine Clinic, SC

  • Physical Therapy Clinic/Center
  • Rice Lake, WI
  • NPI 1023884376
  NPD
• Optimum Therapies of Rice Lake

  dba Optimum Therapies of Rice Lake, LLC

  • Physical Therapist
  • Barron, WI
  • NPI 1982296331
  NPD
• Optimum Therapies, LLC

  • Physical Therapy Clinic/Center
  • Chippewa Falls, WI
  • NPI 1275498016

  Physical Therapist

  NPD
• Optimum Therapies, LLC

  • Physical Therapy Clinic/Center
  • Eau Claire, WI
  • NPI 1740279611

  Physical Therapist

  NPD
• Spooner Physical Therapy & Wellness Inc

  • Physical Therapist
  • Spooner, WI
  • NPI 1093226011
  NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1316995525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016479",
            "telephone_number": "715-855-0408",
            "fax_number": "715-855-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S WISCONSIN AVE STE A",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548687527",
            "telephone_number": "715-855-0430",
            "fax_number": "715-236-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6121024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40312100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Elaine Sikorski, H.I.S
• Katherine L. Simeth, D.D.S.
• Zara Sivertsen, RPH
• Erin Alexa Smetko, M.S.
• Gabrielle Carmen Chan Smiley, OD
• William A Smith, MD
• David A Sommerfeld, D. C.
• Michael David Sommerfeld, DC
• Scott Adam Sordahl
• Alboury Sow, M.D.

• Physical Therapist in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.