Individual provider Active NPI

Connor Nesmith, OTR/L

  • Occupational Therapist
  • Auburn, AL
National Provider Identifier
1154058238
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1530 E Glenn Ave Ste C
Auburn, AL 36830-5730
Phone
(334) 502-7839
NPI assigned
Aug 8, 2022
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

1530 E Glenn Ave Ste C
Auburn, AL 36830-5730

Mailing address

2823 Greystone Commercial Blvd
Hoover, AL 35242-2660
Phone (205) 745-3660

Other practice location 1

8117 Old Federal Rd
Montgomery, AL 36117-8009
Phone (334) 380-5920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811003892 AL Practitioner - Occupational Therapist in Private Practice 6204219074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South Auburn LLCGroup PAC ID 1658595723, 9 clinicians
Therapy South - Carmichael Road LLCGroup PAC ID 6305214271, 3 clinicians

Practice addresses (Care Compare)

1530 E Glenn Ave
Suite C
Auburn, AL 36830-5730
Phone (334) 502-7839

4142 Carmichael Rd
Suite B
Montgomery, AL 36106-2934
Phone (334) 839-5070

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
93.41
Improvement activities
40
Cost
73.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South - Carmichael Road LLC CurrentSince Oct 17, 2022 Accepting new patients
Therapy South Auburn LLC CurrentSince Aug 8, 2022 Accepting new patients
Therapy South - Montgomery LLC CurrentSince Aug 8, 2022 Accepting new patients
Body Logic Physical Therapy LLC PastSince Aug 8, 2022 Accepting new patients

Locations

1530 E Glenn Ave
Ste C
Auburn, AL 36830
Phone (334) 502-7839

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

4142 Carmichael Rd
Ste B
Montgomery, AL 36106
Phone (334) 839-5070

8117 Old Federal Rd
Montgomery, AL 36117
Phone (334) 380-5920

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1154058238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E GLENN AVE STE C",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305730",
            "telephone_number": "334-502-7839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8117 Old Federal Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361178009",
            "country_code": "US",
            "telephone_number": "334-380-5920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESMITH",
        "first_name": "CONNOR",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.