Jana Beriswill Smith, M.O.T

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT17600 Issued in FL

Practice address

250 NW 76TH Dr
Gainesville, FL 32607-6668

Phone

(352) 505-6363

NPI assigned

Nov 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jana Elizabeth Beriswill Former name

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1295278836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N QUINCY ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472614",
            "telephone_number": "813-404-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NW 76TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076668",
            "telephone_number": "352-505-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7595 Baymeadows Cir W",
            "address_2": "apt #606",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322561879",
            "country_code": "US",
            "telephone_number": "813-404-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 N Quincy St",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "FL",
            "postal_code": "323472614",
            "country_code": "US",
            "telephone_number": "813-404-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANA",
        "middle_name": "BERISWILL",
        "credential": "M.O.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "17600",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT17600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "BERISWILL",
            "middle_name": "ELIZABETH",
            "credential": "M.O.T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Smith
• Holden Payne Smith, MAT, LAT, ATC
• Jacqueline Smith
• Jamel Smith
• James M Smith, MD
• Jeffrey Luther Smith, DC
• Jennifer Anne Smith
• Jessica Smith, APRN
• Jessica L Smith
• Jessica Lynn Smith, LICSW, LCSW

• Pediatric Occupational Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.