Active NPI
James D Smith, OTR
- Occupational Therapist
- Corona, CA
National Provider Identifier
1134879463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6549
- Practice address
- 1280 Corona Pointe CT Ste 118
Corona, CA 92879-1770 - Phone
- (951) 340-3402
- NPI assigned
- Mar 28, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 6549 | CA | Primary |
Addresses
Primary practice location
1280 Corona Pointe CT Ste 118
Corona, CA 92879-1770
Mailing address
1400 Circle City Dr
Corona, CA 92879-1642
Phone (951) 735-0252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012658 | Other | CA | HMO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rancho Physical Therapy, Inc. | Current | Accepting new patients | |
| Rancho Physical Therapy, Inc. | Current | Accepting new patients | |
| Robert Marriott Medical Corp | Past | Accepting new patients |
Locations
1280 Corona Pointe Ct
Ste 118
Corona, CA 92879
Phone (951) 304-3402
24021 Alessandro Blvd
Ste 109
Moreno Valley, CA 92553
Phone (951) 485-4594
6850 Brockton Ave
Ste 212
Riverside, CA 92506
Phone (951) 534-0600
Organizations & group practices 3
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.
-
- Physical Therapist
- Temecula, CA
- NPI 1679541320
-
- Physical Therapist
- Corona, CA
- NPI 1891763561
-
- Surgery Physician
- El Segundo, CA
- NPI 1083883938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1134879463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CIRCLE CITY DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928791642",
"telephone_number": "951-735-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 CORONA POINTE CT STE 118",
"city": "CORONA",
"state": "CA",
"postal_code": "928791770",
"telephone_number": "951-340-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "D",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-28",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "6549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "012658",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.