Mary Teresa Smith, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT004850 Issued in GA

Practice address

7501 Auden TRL
Atlanta, GA 30350-5002

Phone

(770) 394-9791

Fax

(770) 394-7803

NPI assigned

Mar 23, 2010

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

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.

• Children'S Special Services LLC

  • Occupational Therapist
  • Atlanta, GA
  • NPI 1316188949
  NPD (past)

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1083938864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 AUDEN TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303505002",
            "telephone_number": "770-394-9791",
            "fax_number": "770-394-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 AUDEN TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303505002",
            "telephone_number": "770-394-9791",
            "fax_number": "770-394-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY TERESA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Smith
• Mandi Raye Smith, BS, RBT
• Marche' Smith, MD
• Mark Anthony Smith, DC
• Mark H Smith, ATC
• Matthew Louis Smith, PSY.D.
• Matthew Terrence Smith Jr., M.D.
• Maurika Smith
• Max P Smith, DO
• Maya Smith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.