Brynn Shellene Smith, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4603 Issued in TN

Practice address

45 Forest CV
Jackson, TN 38301-4366

Phone

(731) 424-4200

NPI assigned

Dec 26, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1013253863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WEXFORD CV",
            "city": "THREE WAY",
            "state": "TN",
            "postal_code": "383438633",
            "telephone_number": "731-694-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014366",
            "telephone_number": "731-424-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRYNN",
        "middle_name": "SHELLENE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "4603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Smigielski, MD
• Smiles and Blessings, Inc.
• Adam M Smith, MD
• Autumn N Smith, BSW
• Braden Reid Smith, N.P.
• Clinton Smith
• Clyde E Smith, M.D.
• Delia A Smith
• Garrison Berry Smith, M.D.
• Hannah Marie B Smith, RBT

• Occupational Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.