Active NPI
Tara Beth Smith, OTR/L
- Occupational Therapist
- Cookeville, TN
National Provider Identifier
1366950875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5831
- Practice address
- 315 N Washington Ave Ste 240
Cookeville, TN 38501 - Phone
- (931) 854-1203
- NPI assigned
- Jan 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5831 | TN | Primary |
Addresses
Primary practice location
315 N Washington Ave Ste 240
Cookeville, TN 38501
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (155) 916-5906
Other practice location 1
1445 E 10th St
Cookeville, TN 38501-2017
Phone (423) 223-6418
Other practice location 2
825 Fisher Ave
Smithville, TN 37166-2140
Phone (423) 223-6418
Other practice location 3
1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone (423) 223-6418
Other practice location 4
1445 E 10th St
Cookeville, TN 38501-2017
Phone (423) 223-6418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446631 | Medicaid | TN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5831 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1366950875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681478",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681478",
"telephone_number": "155-916-5906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N WASHINGTON AVE STE 240",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38501",
"telephone_number": "931-854-1203"
}
],
"practiceLocations": [
{
"address_1": "1445 E 10th St",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385012017",
"country_code": "US",
"telephone_number": "423-223-6418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Fisher Ave",
"address_purpose": "LOCATION",
"city": "Smithville",
"state": "TN",
"postal_code": "371662140",
"country_code": "US",
"telephone_number": "423-223-6418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385014294",
"country_code": "US",
"telephone_number": "423-223-6418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1445 E 10th St",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385012017",
"country_code": "US",
"telephone_number": "423-223-6418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "TARA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "5831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446631",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.