Azalea Rebecca Smith, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

124491 Issued in TX

Practice address

5133 S FM 549
Rockwall, TX 75032-9178

Phone

(469) 458-9021

NPI assigned

Apr 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavioral Transformations, LLC

  • Behavior Analyst
  • Garland, TX
  • NPI 1316336043
  NPD (past)

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1154175297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SANDGATE DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 S FM 549",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750329178",
            "telephone_number": "469-458-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750874200",
            "country_code": "US",
            "telephone_number": "469-458-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AZALEA",
        "middle_name": "REBECCA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Larry Smart, LPT
• Smiley Tooth (The Smiley Tooth - Pediatric Dentistry of Rockwall)
• Smiley Tooth LLLP
• Alisha Phillips Smith, CPNP
• Angela Smith, MA, CCC-SLP
• Brooklyn Smith
• Cheryl Smith, D.D.S.
• Christopher Lee Smith, PH.D.
• Deborah Kay Smith, MS, CCC-SLP
• Freddy Smith

• Occupational Therapist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.