Christina Marie Smith, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C1771 Issued in WV

Practice address

302 Cedar Ridge Rd
Sissonville, WV 25320-9502

Phone

(304) 984-0046

NPI assigned

May 3, 2011

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1477845980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 FERRELL RD APT 103",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251777473",
            "telephone_number": "304-807-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CEDAR RIDGE RD",
            "city": "SISSONVILLE",
            "state": "WV",
            "postal_code": "253209502",
            "telephone_number": "304-984-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C1771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mpac Mental Health West Virginia PLLC
• Charolette Pauley
• Linda Shaffer
• Sissonville Health Center
• Ashley Slater
• Jeanie Lou Smith, COTA
• Tammy Clark Snyder, PTA
• Courtney Ann Stark
• Barbara C Teel
• Stephen R Thaxton, DC

• Occupational Therapy Assistant in Sissonville, WV
• Providers in Sissonville, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.