Individual provider Active NPI

Clarissa Fells Smith

  • Occupational Therapist
  • Birmingham, AL
National Provider Identifier
1053613240
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0318 Issued in AL
Practice address
8198 Castlehill Rd
Birmingham, AL 35242-7232
Phone
(205) 243-3257
Fax
(205) 994-2251
NPI assigned
Nov 22, 2010
Last updated
Nov 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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 0318 AL Primary

Addresses

Primary practice location

8198 Castlehill Rd
Birmingham, AL 35242-7232

Mailing address

8198 Castlehill Rd
Birmingham, AL 35242-7232
Phone (205) 243-3257

Other names 1

  • Miss Clarissa Fells Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0318ALMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1053613240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8198 CASTLEHILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427232",
            "telephone_number": "205-243-3257",
            "fax_number": "205-994-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 CASTLEHILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427232",
            "telephone_number": "205-243-3257",
            "fax_number": "205-994-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLARISSA",
        "middle_name": "FELLS",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "0318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "SMITH",
            "middle_name": "FELLS",
            "prefix": "MISS",
            "credential": "PH.D., MA, OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.