Kayla Mae Smith

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057004724 Issued in IL

Practice address

435 Camden Rd
Mount Sterling, IL 62353-1058

Phone

(217) 773-4411

NPI assigned

Mar 6, 2019

Last updated

Mar 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1497213664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CAMDEN RD",
            "city": "MT STERLING",
            "state": "IL",
            "postal_code": "623531058",
            "telephone_number": "217-773-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CAMDEN RD",
            "city": "MOUNT STERLING",
            "state": "IL",
            "postal_code": "623531058",
            "telephone_number": "217-773-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAYLA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057004724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ryssman, COTA
• John Thomas Schneider
• Jennifer S Schroeder, MD
• Kayla A. Sipes
• Nicholas Skinner
• Sarah Elaine Smith
• Jasmine Sommer
• Beth Stephens
• Jason Taylor, ATC, CSCS
• Jonathon Paul Thoele, O.D.

• Occupational Therapy Assistant in Mt Sterling, IL
• Providers in Mt Sterling, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.