Bryce Carsone Smith, OTD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OT010148 Issued in OH

Practice address

3035 Wooster Rd
Rocky River, OH 44116-4144

Phone

(440) 356-0670

NPI assigned

Mar 27, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: smithb6@ccf.org

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1013544022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 SHERYL DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094512",
            "telephone_number": "330-565-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 WOOSTER RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441164144",
            "telephone_number": "440-356-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRYCE",
        "middle_name": "CARSONE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "OT010148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Smithb6@ccf.org",
            "affiliation": "N",
            "address_1": "3035 Wooster Rd",
            "city": "Rocky River",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441164144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Andrew M Smith, MSW, LISW-S
• David C Smith, LISW, LICDC
• Justin J Smith, D.O.
• Sharon Snee
• Emily A Sokolowski, RD LD
• Soma Lotus Executive Coaching Counseling and Consulting

• Physical Medicine & Rehabilitation Physician in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.