Kelli Jo Smith, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R3388 Issued in KY

Practice address

1033 N Highway 11
Manchester, KY 40962-5478

Phone

(606) 598-6163

NPI assigned

Jun 21, 2007

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023214780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 HOWARD RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407449143",
            "telephone_number": "859-402-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N HIGHWAY 11",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409625478",
            "telephone_number": "606-598-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Smallwood, L.M.T
• Amber Smith, PHARM D
• Gerry Smith
• James L. Smith, CRNA
• Joie Smith, CPSS, CSA, TCM
• Kenna Smith
• Khercie Smith, MD
• Rachael Lee Smith
• Rhonda Renee Smith
• Serena E Smith, M.S., CCC-SLP

• Occupational Therapist in Manchester, KY
• Providers in Manchester, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.