Individual provider Active NPI

Smitha Shailan

  • Occupational Therapist
  • Cary, NC
National Provider Identifier
1346944832
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17198 Issued in NC
Practice address
100 Cornerstone Dr
Cary, NC 27519-8453
Phone
(919) 460-1921
Fax
(919) 460-1929
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17198 NC Primary

Addresses

Primary practice location

100 Cornerstone Dr
Cary, NC 27519-8453

Mailing address

1784 Alpine Summer LN
Apex, NC 27502-4507
Phone (443) 917-9032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317002488 NC Practitioner - Occupational Therapist in Private Practice 4981126240 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benefit Therapy Services, PLLC Occupational Therapist CurrentSince Mar 25, 2025 Accepting new patients
Care First Physical Therapy & Rehab, LLC Occupational Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

100 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-1921

600A Village Walk Dr
Holly Springs, NC 27540
Phone (919) 285-2157

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1346944832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 ALPINE SUMMER LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024507",
            "telephone_number": "443-917-9032",
            "fax_number": "919-460-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORNERSTONE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198453",
            "telephone_number": "919-460-1921",
            "fax_number": "919-460-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAILAN",
        "first_name": "SMITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.