Active NPI
Emily Jane Smith, OTR/L, MOT
- Occupational Therapist
- Newaygo, MI
National Provider Identifier
1467665570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201010068
- Practice address
- 1 State Rd Ste 3
Newaygo, MI 49337-7982 - Phone
- (800) 968-1331
- NPI assigned
- May 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.007437 | OH | |
| Occupational Therapist | 225X00000X | 5201010068 | MI | Primary |
Addresses
Primary practice location
1 State Rd Ste 3
Newaygo, MI 49337-7982
Mailing address
167 Highlander Dr NE
Rockford, MI 49341-8297
Phone (513) 739-0399
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2542118 | Other | OH | INDEPENDENT PROVIDER |
| 266345 | Other | OH | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY |
| OT. 007437 | Other | OH | OHIO OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND ATHLETIC TRAINERS BOARD |
| 5201010068 | Other | MI | MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS |
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 |
|---|---|---|---|
| 5201010068 | MI | MD | Occupational Therapist |
| OT.007437 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1467665570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 HIGHLANDER DR NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493418297",
"telephone_number": "513-739-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 STATE RD STE 3",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493377982",
"telephone_number": "800-968-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "EMILY",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "OTR/L, MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.007437",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201010068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT PROVIDER",
"identifier": "2542118",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
"identifier": "266345",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND ATHLETIC TRAINERS BOARD",
"identifier": "OT. 007437",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
"identifier": "5201010068",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newaygo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.