Rosa Marie Smith, BS OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

119814 Issued in TX

Practice address

1001 12TH Ave Ste 146
Fort Worth, TX 76104-3929

Phone

(817) 377-4011

Fax

(817) 377-9269

NPI assigned

Apr 24, 2007

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehabilitation Physicians Network Inc

  dba North Texas Rehabilitation Center

  • Rehabilitation Practitioner
  • Dallas, TX
  • NPI 1508095761
  NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1336368703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BEACONSFIELD LN APT 301",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115048",
            "telephone_number": "817-818-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 146",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043929",
            "telephone_number": "817-377-4011",
            "fax_number": "817-377-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROSA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "BS OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004261A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Smith
• Randy Lee Smith
• Rebecca A Smith, CPNP
• Richard Lee Smith, PA-C
• Robert Norwood Smith Jr., M.D.
• Russell R Smith, PA
• Ryan Smith, MPT
• Ryan Mark Smith, PA
• Ryan Robert Smith, MD
• Saletha Brenetha Smith

• Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapist in Texas

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