Individual provider Active NPI

Mark Charles Smearman, PT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1356462261
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15357 Issued in MD
Practice address
341 N Calvert St Ste 300
Baltimore, MD 21202-3654
Phone
(410) 576-9777
Fax
(410) 547-8323
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15357 MD Primary

Addresses

Primary practice location

341 N Calvert St Ste 300
Baltimore, MD 21202-3654

Mailing address

627 Yarmouth Rd
Towson, MD 21286-7838
Phone (410) 823-0653

Other identifiers 3

IdentifierTypeStateIssuer
780-3294OtherMDAETNA PPO
S484-0001OtherMDCAREFIRST
337-6245OtherMDAETNA HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15357MDMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: mark.smearman.1@20053.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1356462261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 YARMOUTH RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212867838",
            "telephone_number": "410-823-0653",
            "fax_number": "443-460-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N CALVERT ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023654",
            "telephone_number": "410-576-9777",
            "fax_number": "410-547-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEARMAN",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "780-3294",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "S484-0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "337-6245",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.