Kimberly Ann Smith, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1066788 Issued in OR

Practice address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Phone

(971) 224-2031

NPI assigned

Apr 16, 2011

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302912000000",
    "number": "1174813703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16667 NW NORWALK DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065280",
            "telephone_number": "503-617-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "971-224-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-16",
        "last_updated": "2011-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1066788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Smith-Treadwell, SLP
• Andrew Paul Smith, LMT
• Anna Smith, OTD, OTR/L, MHA
• Beverly J Smith, FNP
• Daniel Lee Smith, RPH
• Trenton Michael Smith, OTR/L
• Robert W Snider, M.D.
• Andrea Elizabeth Sodaro, L.AC
• Theresa Corina Solis, LMT
• Jesus Manuel Soltero-Plaza, PT, DPT

• Occupational Therapist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; 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.