Caitlyn Justine Smith, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2025045023 Issued in MO

Practice address

930 Shephard Brothers Blvd
Moberly, MO 65270-3813

Phone

(660) 269-8598

NPI assigned

Oct 23, 2025

Last updated

Oct 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1013884998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 HALLECK ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702048",
            "telephone_number": "660-833-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SHEPHARD BROTHERS BLVD",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703813",
            "telephone_number": "660-269-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAITLYN",
        "middle_name": "JUSTINE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2025045023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Emergency Physician Services of North Missouri, Inc.
• Samuel Livaudois Simpson, MD
• Skilled Nursing Services LLC (Loma Linda)
• Smile Dental Associates, LLC
• Alicia Elizabeth Smith
• Claire Riane Smith, MD
• Dennis L Smith, D.O.
• Jeff Scott Snodgrass, D.C.
• Rachael Elizabeth Soles, FNP-C
• Housam Soukieh, MD

• Occupational Therapy Assistant in Moberly, MO
• Providers in Moberly, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.