Individual provider Active NPI

Sariah Jean Smith, DO

  • Pediatric Occupational Therapist
  • Pocatello, ID
National Provider Identifier
1356061592
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT-2638 Issued in ID
Practice address
1110 Call Creek Dr Ste 7
Pocatello, ID 83201-3072
Phone
(208) 233-4660
Fax
(208) 233-4262
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT-2638 ID Primary

Addresses

Primary practice location

1110 Call Creek Dr Ste 7
Pocatello, ID 83201-3072

Mailing address

1110 Call Creek Dr Ste 7
Pocatello, ID 83201-3072
Phone (208) 233-4660

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.ststherapy.com/

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT-2638IDMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1356061592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CALL CREEK DR STE 7",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013072",
            "telephone_number": "208-233-4660",
            "fax_number": "208-233-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CALL CREEK DR STE 7",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013072",
            "telephone_number": "208-233-4660",
            "fax_number": "208-233-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARIAH",
        "middle_name": "JEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "OT-2638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.ststherapy.com/",
            "affiliation": "N",
            "address_1": "1110 Call Creek Dr Ste 7",
            "city": "Pocatello",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832013072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.