Active NPI
Rae Ann Smith, OTD, OTR/L
- Occupational Therapist
- Fort Ashby, WV
National Provider Identifier
1306401807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 04235
- Practice address
- 1 Diane Dr.
Fort Ashby, WV 26719 - Phone
- (304) 298-3602
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 04235 | MD | Primary |
Addresses
Primary practice location
1 Diane Dr.
Fort Ashby, WV 26719
Mailing address
13 Sunnyview Dr
Phoenix, MD 21131-2035
Phone (301) 697-3141
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04235 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1306401807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 SUNNYVIEW DR",
"city": "PHOENIX",
"state": "MD",
"postal_code": "211312035",
"telephone_number": "301-697-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DIANE DR.",
"city": "FORT ASHBY",
"state": "WV",
"postal_code": "26719",
"telephone_number": "304-298-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RAE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "04235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Ashby, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.