Todd Charles Smith, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0469T Issued in IA

Practice address

32 E Main St
Marshalltown, IA 50158-4903

Phone

(641) 753-6636

Fax

(641) 753-1005

NPI assigned

Aug 8, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sportsplus Physical Therapy GC LLC

  • Physical Therapy Clinic/Center
  • Grundy Center, IA
  • NPI 1790140234
  NPD (past)
• Sportsplus Sports Medicine and Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Marshalltown, IA
  • NPI 1467422014
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710997226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "address_2": "P O BOX 474",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584903",
            "telephone_number": "641-753-6636",
            "fax_number": "641-753-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584903",
            "telephone_number": "641-753-6636",
            "fax_number": "641-753-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TODD",
        "middle_name": "CHARLES",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "0469T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Foot Clinic PC
• Anessa Smith
• Larissa Smith, ARNP
• Mark Danner Smith, LISW
• Misty Lynn Smith, BA
• Amanda Elizabeth Snider, TCADC
• Janelle Lynn Snyder, LAT
• Sarah Sorsen
• Kathleen Marie Soseman, OTD OTR/L CHT
• Viegoun Soukhavong, RN

• Athletic Trainer in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.