Active NPI
Alicia Smith, MS, OTR/L
- Occupational Therapist
- Randallstown, MD
National Provider Identifier
1124477286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 03809
- Practice address
- 4211 Herrera CT
Randallstown, MD 21133-1221 - Phone
- (410) 916-8178
- NPI assigned
- Jun 9, 2016
- 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 | 03809 | MD | Primary |
Addresses
Primary practice location
4211 Herrera CT
Randallstown, MD 21133-1221
Mailing address
4211 Herrera CT
Randallstown, MD 21133-1221
Phone (410) 916-8178
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03809 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1124477286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 HERRERA CT",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211331221",
"telephone_number": "410-916-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 HERRERA CT",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211331221",
"telephone_number": "410-916-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALICIA",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "03809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.