Active NPI
Joseph Thaddeus Smolarkiewicz, OTR
- Occupational Therapist
- Wayland, MI
National Provider Identifier
1003479114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201005230
- Practice address
- 425 E Elm St
Wayland, MI 49348-1109 - Phone
- (269) 792-2249
- NPI assigned
- Apr 16, 2019
- Last updated
- Apr 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201005230 | MI | Primary |
Addresses
Primary practice location
425 E Elm St
Wayland, MI 49348-1109
Mailing address
130 Court St
Plainwell, MI 49080-1217
Phone (269) 217-7153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201005230 | Other | MI | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201005230 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1003479114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 COURT ST",
"city": "PLAINWELL",
"state": "MI",
"postal_code": "490801217",
"telephone_number": "269-217-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E ELM ST",
"city": "WAYLAND",
"state": "MI",
"postal_code": "493481109",
"telephone_number": "269-792-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOLARKIEWICZ",
"first_name": "JOSEPH",
"middle_name": "THADDEUS",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201005230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "5201005230",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.