Carlene Mercia Smith

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

1007012 Issued in OR

Practice address

2360 Chambers St
Eugene, OR 97405-1861

Phone

(541) 687-1310

NPI assigned

Apr 24, 2012

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

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1356609713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 DARLENE LN",
            "address_2": "#158",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011551",
            "telephone_number": "541-513-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 CHAMBERS ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051861",
            "telephone_number": "541-687-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLENE",
        "middle_name": "MERCIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OR",
            "license": "1007012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Annabelle Smith
• Belinda A Smith
• Bryan Smith
• Callie Smith, LMT
• Calvin Daniel Smith
• Chance E Smith
• Christopher Smith, PSY. D
• Christopher Antonio Smith
• Colleen Mary Smith, CADCII
• Corey Glenn Smith

• Physical Rehabilitation Occupational Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Rehabilitation Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.