Sharron Bush Smith, L.O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.Z10814 Issued in LA

Practice address

102 Raphael Dr
Lafayette, LA 70508-5952

Phone

(337) 849-7431

NPI assigned

May 7, 2007

Last updated

Dec 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• In Home Rehab of Louisiana, LLC

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1962049064
  NPD (past) Authorized official
• Lagniappe Home and Community Care LLC

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1326667320
  Authorized official Same address or phone

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1235341553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RAPHAEL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085952",
            "telephone_number": "337-849-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RAPHAEL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085952",
            "telephone_number": "337-849-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHARRON",
        "middle_name": "BUSH",
        "name_prefix": "Mrs.",
        "credential": "L.O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.Z10814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306843",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matt Smith
• Michael Smith, DPT
• Ronni Arnold Smith, CRNA
• Rosaline Smith, CIT,BS, SAS
• Shanice Lashounda Smith
• Sydney Smith
• Wanakee Annick Smith, LPC
• Wanda B Smith
• Whitney Smith, LCSW
• Whitney Elizabeth Smith

• Occupational Therapist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.