Active NPI
Cristina Reyes Smith, OT
- Occupational Therapist
- Goose Creek, SC
National Provider Identifier
1174656185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3232
- Practice address
- 120C Springhall Dr
Goose Creek, SC 29445-5335 - Phone
- (843) 216-0290
- Fax
- (843) 216-2445
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- 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 | 3232 | SC | Primary |
Addresses
Primary practice location
120C Springhall Dr
Goose Creek, SC 29445-5335
Mailing address
PO Box 1753
Mt Pleasant, SC 29465-1753
Phone (843) 216-0290
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3232 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Therapy Services, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Mt Pleasant, SC
- NPI 1285641308
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174656185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1753",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294651753",
"telephone_number": "843-216-0290",
"fax_number": "843-216-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120C SPRINGHALL DR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294455335",
"telephone_number": "843-216-0290",
"fax_number": "843-216-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CRISTINA",
"middle_name": "REYES",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.