Russell Duane Smith, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2018027106 Issued in MO

Practice address

2 Gateway Dr
Saint Louis, MO 63106-2715

Phone

(314) 241-0993

NPI assigned

Jul 25, 2018

Last updated

Jul 25, 2018By the provider in NPPES

Sex

Male

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1194202820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 BOONE ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314612",
            "telephone_number": "314-835-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GATEWAY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631062715",
            "telephone_number": "314-241-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RUSSELL",
        "middle_name": "DUANE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2018027106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Smith
• Renee Smith
• Robert E Smith, OD
• Robert W Smith, M.D.
• Rosalind Smith, NP
• Ryan Smith, BSW
• Ryan Smith, MD
• Sade Latacey Smith
• Samantha Jane Smith, LPC
• Sandra Smith

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.