Jake Smallwood

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013753 Issued in MI

Practice address

23770 Hospital St
Cassopolis, MI 49031-9699

Phone

(269) 445-3801

NPI assigned

Sep 30, 2024

Sex

Male

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1316765282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23770 HOSPITAL ST",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23770 HOSPITAL ST",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319699",
            "telephone_number": "269-445-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23770 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Cassopolis",
            "state": "MI",
            "postal_code": "490319699",
            "country_code": "US",
            "telephone_number": "269-445-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "JAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Ayub Shaikh, M.D.
• Kathleen Ann Sheffield, LMSW
• Brittany Shugars, COMMUNITY HEALTH WOR
• Nina Kathleen Siagkris, MSW
• Christopher Hilbert Slough, MS
• Audrye Smith, LLBSW
• Lori Ann Smith
• Pamela J Smith
• Heather Stack, RDH
• Emily Steenbeke

• Occupational Therapist in Cassopolis, MI
• Providers in Cassopolis, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.