Individual provider Active NPI

Sierra Smith, MOT OTR/L

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1104787316
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2022037616 Issued in MO
Practice address
10114 N Ditman Ave
Kansas City, MO 64157-7916
Phone
(785) 304-6056
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2022037616 MO Primary
Occupational Therapist 225X00000X 17-03975 KS

Addresses

Primary practice location

10114 N Ditman Ave
Kansas City, MO 64157-7916

Mailing address

10114 N Ditman Ave
Kansas City, MO 64157-7916

Other practice location 1

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 630-6081

Other practice location 2

5701 W 110th St
Overland Park, KS 66211-2503
Phone (913) 491-2400

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
17-03975KSMDOccupational Therapist
2022037616MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1104787316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10114 N DITMAN AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641577916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10114 N DITMAN AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641577916",
            "telephone_number": "785-304-6056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Excelsior Springs",
            "state": "MO",
            "postal_code": "640241182",
            "country_code": "US",
            "telephone_number": "816-630-6081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5701 W 110th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662112503",
            "country_code": "US",
            "telephone_number": "913-491-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SIERRA",
        "credential": "MOT OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2022037616",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.