Connie Lee Smith, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201005739 Issued in MI

Practice address

903 Iron St
Norway, MI 49870-1003

Phone

(906) 563-5139

Fax

(906) 774-1570

NPI assigned

Jul 6, 2006

Last updated

Oct 5, 2013By 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 1

Addresses

Other names 1

• Connie Lee Loomis Former name

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380931200000",
    "number": "1356372114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 IRON ST",
            "city": "NORWAY",
            "state": "MI",
            "postal_code": "498701003",
            "telephone_number": "906-563-5139",
            "fax_number": "906-774-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 IRON ST",
            "city": "NORWAY",
            "state": "MI",
            "postal_code": "498701003",
            "telephone_number": "906-563-5139",
            "fax_number": "906-774-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CONNIE",
        "middle_name": "LEE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "LOOMIS",
            "middle_name": "LEE",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Monique Peterson, PTA
• Lawrence Heath Pierce, P.T.A.
• Elizabeth Ryan
• Mark H Schinderle, O.D.
• Melanie Chandra Singh, MSW
• Kevin Lee Stanek, D.C.
• Superior Family Health Center, P.C.
• TDS Inc (Norway Pharmacy)
• TDS Inc (Norway Pharmacy)
• Nathan Thompson, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2013; 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.