Zachary David Smith, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Rocky Mount, NC. Individual provider (NPI-1).
NPI number1043711047
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1043711047
- Entity type
- Individual (NPI-1)
- Name
- Zachary David Smith
- Credential
- MS, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2018
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | LAT-4282 | NC | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 3032 | MA |
Practice location
3400 N Wesleyan BlvdRocky Mount, NC 27804-8699
Phone 252-985-5305
Mailing address
1215 Wilbraham RdSpringfield, MA 01119-2612
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Rocky Mount, NC
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All 7 Athletic Trainer providers in Rocky Mount · All 1,760 providers in Rocky Mount
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