Individual provider Active NPI

Casey O'Malley Smith, M.S.O.T., OTR/L

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1205248911
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R5998 Issued in KY
Practice address
1913 Alfresco PL # 1
Louisville, KY 40205-1809
Phone
(502) 836-7246
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R5998 KY Primary

Addresses

Primary practice location

1913 Alfresco PL # 1
Louisville, KY 40205-1809

Mailing address

1913 Alfresco PL # 1
Louisville, KY 40205-1809
Phone (502) 836-7246

Other names 1

  • Sarah Casey O'Malley Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R5998KYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1205248911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 ALFRESCO PL # 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051809",
            "telephone_number": "502-836-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 ALFRESCO PL # 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051809",
            "telephone_number": "502-836-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CASEY",
        "middle_name": "O'MALLEY",
        "name_prefix": "Mrs.",
        "credential": "M.S.O.T., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R5998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "O'MALLEY",
            "middle_name": "CASEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.