P Praxis·MD
● Active Type 1 · Individual

DR. Matthew Charlew Smitley, DAT, LAT, ATC

Specialist/Technologist·Moscow, ID· NPI 1588075121 · Enumerated 2014 · 12 years on NPI
Smitley is 1 of 94 specialist/technologist providers in Moscow and 1 of 326 in Idaho.
NPI age
12 years
Enumerated 2014-05-16
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
ID, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-09-02
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
12 years
↑ 4 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 · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Practice location
875 Perimeter Dr # MS 2401
Moscow, ID 838447462
📞 2088850349fax 2088855929
Mailing address
320 Opal Brook Dr
Elizabethton, TN 376437462

Additional practice locations

1 secondary location on file with NPPES.

Location 2
320 Opal Brook Dr
Elizabethton, TN 376437462
📞 8055886929

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,...
    ID license #AT-642NC license #LAT-2518 taxonomy 2255A2300X

Practice context

Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.

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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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