Lydia Rachel Smith, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3555 Issued in CA

Practice address

1040 Marshall Way
Placerville, CA 95667-5706

Phone

(530) 622-3400

Fax

(530) 622-5230

NPI assigned

Sep 16, 2008

Sex

Female

Sole proprietor

Yes

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1073762936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E BIDWELL ST",
            "address_2": "SUITE 201",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303452",
            "telephone_number": "916-983-5915",
            "fax_number": "916-983-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675706",
            "telephone_number": "530-622-3400",
            "fax_number": "530-622-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYDIA",
        "middle_name": "RACHEL",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "3555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Danielle Slocum, HCA
• Anthony James Smith, PTA
• Carolee J Smith, RN
• Cheryl Guinn Smith, PHARMACIST
• Heather Smith
• Sophie Smith
• Tiffany Rosalind Smith, LCSW
• Paul Bernard Sobelman, M.D.
• Brian Jordan Sobocinski, RADT-1
• Sohi Dentistry Professional Corporation

• Occupational Therapist in Placerville, CA
• Providers in Placerville, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.