Sheretta L Gamble-Smith, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

1650 Issued in AL

Practice address

409 E 10TH St
Anniston, AL 36207-4780

Phone

(256) 238-0110

Fax

(256) 238-5143

NPI assigned

Dec 15, 2006

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

Other identifiers 1

Other names 1

• Sheretta L Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Occupational Therapy Services Unlimited LLC

  • Occupational Therapist
  • Gadsden, AL
  • NPI 1942310115
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053473025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 SHELBY DR",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070628",
            "telephone_number": "256-547-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E 10TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074780",
            "telephone_number": "256-238-0110",
            "fax_number": "256-238-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE-SMITH",
        "first_name": "SHERETTA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "1650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "1650",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERETTA",
            "last_name": "SMITH",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diane Reddish Gable, P.T.
• Gadsden Limb & Brace, Inc. (Hanger Clinic)
• Gadsden Regional Primary Care LLC (Northeast Regional Primary Care Inc)
• Molly Victoria Gaines, PHARMD
• Jasmine Gaitor
• Manjula Garapati
• Donna Shadrix Gardner, OT
• Jessica Desiree Gardner, COTA/L
• Thomas Allen Garland, MD
• Jonathan C Garlick, LPC

• Specialist in Anniston, AL
• Providers in Anniston, AL by specialty
• Specialist in Alabama

• 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.