Nicole Leanne Smith, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

4584 Issued in AZ

Practice address

32531 N Scottsdale Rd
Suite 105-162
Scottsdale, AZ 85266-1519

Phone

(480) 488-3946

NPI assigned

May 27, 2010

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

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Theraplay4Kidz, LLC

  • Occupational Therapist
  • Scottsdale, AZ
  • NPI 1750727798
  Medicare reassignment NPD
• Achievement Home Healthcare, LLC

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1912116948
  NPD (past)
• Achievement Therapy Services

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1265499701
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1376862573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 S DRAGOON DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852499652",
            "telephone_number": "760-567-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32531 N SCOTTSDALE RD",
            "address_2": "SUITE 105-162",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661519",
            "telephone_number": "480-488-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "LEANNE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "4584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Ryan Smith, LAMFT
• Matthew Smith, PT, DPT
• Matthew Todd Smith, DDS
• Maxwell Smith, MD
• Melissa Smith, FNP-BC
• Pamela Sue Smith, LAC
• Patricia Ann Smith, RN
• Rachel Beth Smith
• Richard Lynn Smith, R.PH.
• Roger Paul Smith, D.C.

• Pediatric Occupational Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatric Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.