Active NPI
Alexandra Smith
- Occupational Therapist
- Sioux Center, IA
National Provider Identifier
1386188779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 080850
- Practice address
- 1101 9TH St SE
Sioux Center, IA 51250-2501 - Phone
- (712) 722-8125
- NPI assigned
- Dec 5, 2016
- 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 | 080850 | IA | Primary |
Addresses
Primary practice location
1101 9TH St SE
Sioux Center, IA 51250-2501
Mailing address
906 1St Ave
Rock Rapids, IA 51246-1022
Phone (605) 553-2987
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080850 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1386188779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 1ST AVE",
"city": "ROCK RAPIDS",
"state": "IA",
"postal_code": "512461022",
"telephone_number": "605-553-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 9TH ST SE",
"city": "SIOUX CENTER",
"state": "IA",
"postal_code": "512502501",
"telephone_number": "712-722-8125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-05",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "080850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Center, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.