Camille Smith

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.0000575 Issued in CO

Practice address

6767 S Spruce St
Suite 102
Centennial, CO 80112-1283

Phone

(303) 563-8290

NPI assigned

Oct 20, 2015

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

Practice roles

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.

• Colorado Institute of Developmental Pediatrics

  • Pediatric Physical Therapist
  • Centennial, CO
  • NPI 1386821742
  NPD (past)

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1265804033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13234 COLUMBINE CIR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 S SPRUCE ST",
            "address_2": "SUITE 102",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121283",
            "telephone_number": "303-563-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0000575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Agency, Inc.
• Anna Kristine Smith, MA
• Bonnie Smith
• Bradley R. Smith, D.D.S.,M.S.
• Brent J Smith, M.D.
• Emma Raeann Smith
• Heather Smith
• Henry Vern Smith, DDS
• Jenise Smith, PHARM D
• Jon C Smith

• Occupational Therapy Assistant in Centennial, CO
• Providers in Centennial, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.