Zachary S Smith, O.T.R.

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

5201008391 Issued in MI

Practice address

812 S Garfield Ave Ste 1
Traverse City, MI 49686-3456

Phone

(231) 421-9201

NPI assigned

Oct 30, 2012

Sex

Male

Sole proprietor

Yes

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 MI

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.

• Advanced Therapy Group, LLC

  • Physical Therapist
  • Traverse City, MI
  • NPI 1326391137
  Medicare reassignment
• Speech for All Seasons

  • Hearing and Speech Clinic/Center
  • Traverse City, MI
  • NPI 1790420693
  NPD
• The Abby D Center, Inc.

  • Speech-Language Pathologist
  • Petoskey, MI
  • NPI 1083053326
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1417201369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 CHURCH ST SW",
            "city": "SOUTH BOARDMAN",
            "state": "MI",
            "postal_code": "496809762",
            "telephone_number": "231-388-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE STE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-421-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZACHARY",
        "middle_name": "S",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201008391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard G Smith, M.D.
• Robert Lee Smith, M.D.
• Scott A Smith, MA LPC
• Sheila S Smith, OTR/L
• William L Smith, M.D.
• Jennifer Nicole Smits, R.N.
• Lois Smits, MA, CTRA, CAC 1
• Stanley M Smyka, D.D.S.
• Peter J Sneed, M.D.
• Scott Robert Sneed, MD

• Neurorehabilitation Occupational Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Neurorehabilitation Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.