Active NPI
Jamal Colin Smith
- Occupational Therapist
- Temple Hills, MD
National Provider Identifier
1194653642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT210002558
- Practice address
- 2712 Keith St
Temple Hills, MD 20748-1634 - Phone
- (917) 405-9464
- NPI assigned
- May 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | OT210002558 | DC | Primary |
Addresses
Primary practice location
2712 Keith St
Temple Hills, MD 20748-1634
Mailing address
2712 Keith St
Temple Hills, MD 20748-1634
Phone (917) 405-9464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14435 Aden Rd
Nokesville, VA 20181-3122
614 Oneida St NE
Washington, DC 20011-1640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT210002558 | DC | MD | Occupational Therapist |
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.
-
- Neurorehabilitation Occupational Therapist
- Washington, DC
- NPI 1558820787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1194653642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 KEITH ST",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481634",
"telephone_number": "917-405-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 KEITH ST",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481634",
"telephone_number": "917-405-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMAL",
"middle_name": "COLIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-13",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "DC",
"license": "OT210002558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.