Active NPI
Kierra Smiley
- Occupational Therapist
- Palm City, FL
National Provider Identifier
1003680281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT24667
- Practice address
- 2684 SW Immanuel Dr
Palm City, FL 34990-2738 - Phone
- (772) 291-2179
- NPI assigned
- Nov 8, 2023
- Sex
- Female
- 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 | OT24667 | FL | Primary |
Addresses
Primary practice location
2684 SW Immanuel Dr
Palm City, FL 34990-2738
Mailing address
1967 SW Capeador St
Port St Lucie, FL 34953-1747
Phone (772) 579-9635
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 |
|---|---|---|---|
| OT24667 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Links, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
2684 SW Immanuel Dr
Palm City, FL 34990
Phone (772) 220-3444
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Palm City, FL
- NPI 1134734783
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1003680281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1967 SW CAPEADOR ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349531747",
"telephone_number": "772-579-9635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2684 SW IMMANUEL DR",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349902738",
"telephone_number": "772-291-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "KIERRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT24667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.