Mark S Smith, P.T., A.T.,C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

MO 108986 Issued in MO

Practice address

78 Kenrick PLZ
Saint Louis, MO 63119-4414

Phone

(314) 962-8020

Fax

(314) 962-6570

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• South St. Louis Rehabilitation Institute, Inc.

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1568484681
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871517334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 KENRICK PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194414",
            "telephone_number": "314-962-8020",
            "fax_number": "314-962-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 KENRICK PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194414",
            "telephone_number": "314-962-8020",
            "fax_number": "314-962-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "P.T., A.T.,C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MO",
            "license": "MO 01472",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "MO 108986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucendia Smith, CERTIFIED DOULA
• Madeline Smith, APRN
• Mallory Brooke Smith, MD
• Maria Louise Smith, FNP
• Marissa Leigh Smith, FNP
• Mark W. Smith, MSW, LCSW
• Mary Elizabeth Smith, AUD
• Matthew Clayton Smith, D.C
• Meggan Michelle Smith, PA-C
• Melinda Michele Smith, DNP, PMHNP, ACNS

• Athletic Trainer in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.