Brenda Smith, OTR-L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 60611398 Issued in WA

Practice address

179 Dieckman Rd
Chehalis, WA 98532-9614

Phone

(360) 748-3384

NPI assigned

Apr 1, 2016

Sex

Female

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1255794772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "ADNA",
            "state": "WA",
            "postal_code": "985220035",
            "telephone_number": "360-748-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 DIECKMAN RD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329614",
            "telephone_number": "360-748-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENDA",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 60611398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radhika Sitapara, PHARM D
• Zachrey Skelly, PHARMD
• Kate Alexander Herron Slaymaker, DO
• Rachel Slider, MASSAGE THERAPIST
• Maria Elana Smazik
• Jalene Smith, LMP
• Molly Smith, ARNP
• Richard Dewayne Smith Jr., D.D.S.
• Tani Smith
• Charlotte Marie Smyth, B.A.

• Occupational Therapist in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.