Jaimie Smith, MSOTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0223111 Issued in NY

Practice address

1818 Avenue P
Brooklyn, NY 11229-1304

Phone

(718) 677-0797

NPI assigned

Dec 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577491200000",
    "number": "1174162804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHESTNUT DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705639",
            "telephone_number": "973-800-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291304",
            "telephone_number": "718-677-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAIMIE",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "899600",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "0223111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halle Smith, PA-C
• Hamilton Elijah Smith, APRN
• Henry Smith, MSW, RCPA
• Imani Smith
• Jacqueline J Smith
• James Kenneth Smith, M.D
• James Richard Smith
• Jamil Rondrick Smith, L.AC
• Jamila Smith, LMSW
• Janel Smith

• Pediatric Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; 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.