Octavius Smith

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

55160 Issued in AL

Practice address

807 20TH St S
Birmingham, AL 35205-2713

Phone

(205) 933-8101

NPI assigned

Sep 14, 2018

Sex

Male

Sole proprietor

Yes

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1346723350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 20TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052713",
            "telephone_number": "205-933-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "OCTAVIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": "AL",
            "license": "55160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Smith
• Nathan Randall Smith, D.M.D.
• Nathaniel Garrett Smith, CRNP
• Nicholas James Smith, MD
• Nicole Pacifico Smith, CRNP
• P. Stafford Smith
• Pamela P Smith, RNC
• Pamela Valda Smith
• Patricia A Smith
• Patty A Smith, OTR/L

• Recreation Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Recreation Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.