Active NPI
Barbara Smith, OTR
- Occupational Therapist
- Southington, CT
National Provider Identifier
1093833295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001127
- Practice address
- 45 Meriden Ave
Southington, CT 06489-3214 - Phone
- (860) 378-1234
- Fax
- (860) 378-1160
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 001127 | CT | Primary |
Addresses
Primary practice location
45 Meriden Ave
Southington, CT 06489-3214
Mailing address
169 Maplewood Rd
Southington, CT 06489-2433
Phone (860) 628-7886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11244635 | Other | CT | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001127 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093833295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MAPLEWOOD RD",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064892433",
"telephone_number": "860-628-7886",
"fax_number": "860-378-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 MERIDEN AVE",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893214",
"telephone_number": "860-378-1234",
"fax_number": "860-378-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BARBARA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "001127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11244635",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southington, CT
Sources for this page
- 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.