NPIMap

Individual provider Active NPI

William M Smitham, OTR

  • Occupational Therapist
  • Denver, CO
National Provider Identifier
1073502878
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1021925 Issued in CO
Practice address
4900 S Monaco St
#210
Denver, CO 80237-3486
Phone
(303) 584-8000
Fax
(303) 584-8141
NPI assigned
Oct 14, 2005
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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 1021925 CO Primary

Addresses

Primary practice location

4900 S Monaco St
#210
Denver, CO 80237-3486

Mailing address

4900 S Monaco St
#210
Denver, CO 80237-3486
Phone (303) 584-8000

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
1021925COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Behavioral Health LLC Past Accepting new patients
Healthone Clinic Services - Youth Rehabilitation LLC Past Accepting new patients
Healthone Clinic Services-Oncology Hematology LLC Past Accepting new patients
Healthone Clinic Services - Cancer Specialties LLC Past Accepting new patients
Healthone Clinic Services - Pediatric Cardiocascular Surgery LLC Past Accepting new patients
Healthone Clinic Services - Neurosciences Past Accepting new patients

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1073502878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-584-8000",
            "fax_number": "303-584-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-584-8000",
            "fax_number": "303-584-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHAM",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1021925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.