Individual provider Active NPI

Tobi Smith, OCCUPATIONAL THERAPY

  • Occupational Therapist
  • Hagerstown, MD
National Provider Identifier
1033296744
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
05400 Issued in MD
Practice address
11110 Medical Campus Rd
201
Hagerstown, MD 21742-6700
Phone
(301) 714-4025
Fax
(301) 714-4026
NPI assigned
Nov 1, 2006
Last updated
Jun 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 05400 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd
201
Hagerstown, MD 21742-6700

Mailing address

11110 Medical Campus Rd
201
Hagerstown, MD 21742-6700
Phone (301) 714-4025

Other practice location 1

86 Thomas Johnson Ct
Frederick, MD 21702-4348
Phone (301) 694-8311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tobi.smith.1@3812.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000332 MD Practitioner - Occupational Therapist in Private Practice 6901870153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1829 Howell Rd
Suite 4
Hagerstown, MD 21740-6606
Phone (301) 694-8311

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Nisenfeld & Chilton, M.D., P.a. CurrentSince Jun 20, 2012 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Tristate Hand and Occupational Therapy Inc Occupational Therapist Past Accepting new patients

Locations

161 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 579-7811

165 Thomas Johnson Dr
Ste E
Frederick, MD 21702

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

1829 Howell Rd
Ste 4
Hagerstown, MD 21740
Phone 30169483111190

Interoperability endpoints

  • Direct secure messaging: tobi.smith.1@3812.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1033296744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4025",
            "fax_number": "301-714-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4025",
            "fax_number": "301-714-4026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Thomas Johnson Ct",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024348",
            "country_code": "US",
            "telephone_number": "301-694-8311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TOBI",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tobi.smith.1@3812.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "86 Thomas Johnson Ct",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.