Individual provider Active NPI

Kaila-Ruth Smith, OT/L

  • Pediatric Occupational Therapist
  • Cumberland, ME
National Provider Identifier
1417227166
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
TO2599 Issued in ME
Practice address
85 Middle Rd
Cumberland, ME 04021-3707
Phone
(207) 829-8007
Fax
(207) 829-8008
NPI assigned
Jan 11, 2012
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
TO2599MEMDPediatric Occupational Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X TO2599 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

85 Middle Rd
Cumberland, ME 04021-3707

Mailing address

85 Middle Rd
Cumberland, ME 04021-3707
Phone (207) 829-8007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2012.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1417227166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MIDDLE RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213707",
            "telephone_number": "207-829-8007",
            "fax_number": "207-829-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MIDDLE RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213707",
            "telephone_number": "207-829-8007",
            "fax_number": "207-829-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAILA-RUTH",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "TO2599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.