Active NPI
Jill E Smith OT PLLC
- Occupational Therapist
- Baldwin, NY
National Provider Identifier
1184152936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- JILL E SMITH OT PLLC
- Practice address
- 865 Merrick Rd Ste 201
Baldwin, NY 11510-3338 - Phone
- (516) 238-7818
- NPI assigned
- May 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill E Smith, OTR/
- Title
- Occupational Therapist
- Phone
- (516) 238-7818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
865 Merrick Rd Ste 201
Baldwin, NY 11510-3338
Mailing address
76 Intervale
Rockville Centre, NY 11570-4516
Phone (516) 238-7818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
865 Merrick Rd
Ste 201
Baldwin, NY 11510
Phone (516) 238-7818
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1972822633
-
- Occupational Therapist
- Manorville, NY
- NPI 1962459412
-
- Physical Therapist
- Rockville Centre, NY
- NPI 1285921726
-
- Physical Therapist
- Roslyn, NY
- NPI 1447702576
-
- Physical Therapist
- Baldwin, NY
- NPI 1659612257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495584000000",
"number": "1184152936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 INTERVALE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704516",
"telephone_number": "516-238-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 MERRICK RD STE 201",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103338",
"telephone_number": "516-238-7818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JILL E SMITH OT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-24",
"last_updated": "2017-05-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "516-238-7818",
"authorized_official_credential": "OTR/"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.