Cassidy Childs Smith, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008987 Issued in GA

Practice address

18 W Gibson St
Hartwell, GA 30643-1846

Phone

(706) 988-6612

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1053187609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 JACK MCVEIGH DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306354688",
            "telephone_number": "706-988-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W GIBSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431846",
            "telephone_number": "706-988-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CASSIDY",
        "middle_name": "CHILDS",
        "name_prefix": "Mrs.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Allen Seerley, DMD
• Christopher Heath Seibert, D.M.D.
• Sreeroop Sen, M.D.
• Danette Sipper, PHARMD
• Smith Dental Care
• Charles Melvin Smith Jr., D.M.D.
• Sreeroopsen M.D. LLC
• Stephens County Hospital Physician Group, LLC (SCHPG-Surgical Associates)
• Laura Patricia Strickland, L.AC., LMT
• Ting-Yean W. Sullivan, MD

• Occupational Therapist in Hartwell, GA
• Providers in Hartwell, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.