P Praxis·MD
● Active Type 1 · Individual

Charissa Bethe'L Smith, ATC

Specialist/Technologist·Idaho Falls, ID· NPI 1467786319 · Enumerated 2009 · 16 years on NPI
Smith is 1 of 9 specialist/technologist providers in Idaho Falls and 1 of 326 in Idaho.
NPI age
16 years
Enumerated 2009-09-24
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
NV, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-10-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 326 active specialist/technologist providers in Idaho.

NPI age
16 years
↑ 8 yr above median (8 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-09Enumerated in NPPES
2009 2026

Where they practice

Practice location
1767 Blue Sky Dr
Idaho Falls, ID 834024802
📞 2085257770fax 2085257778
Mailing address
98 Poplar St
Blackfoot, ID 832211758
📞 2087853841

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
98 Poplar St
Blackfoot, ID 832211758
📞 2087853841
Location 3
1331 E Plumb Ln
Reno, NV 895023612
📞 7753335100fax 7753335108

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    NV license #0506221ID license #AT-386 taxonomy 2255A2300X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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