Active NPI
Cynthia Smith
- Pediatric Occupational Therapist
- San Diego, CA
National Provider Identifier
1508235177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 7840 Mission Center CT
Ste 200
San Diego, CA 92108-1319 - Phone
- (619) 692-0622
- NPI assigned
- Sep 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
7840 Mission Center CT
Ste 200
San Diego, CA 92108-1319
Mailing address
5423 Lake Murray Blvd
16
La Mesa, CA 91942-1548
Phone (307) 689-7985
Other names 1
- Cynthia Nelson
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jodi Gilray PT PLLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Prescott Valley, AZ
- NPI 1689097651
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1508235177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5423 LAKE MURRAY BLVD",
"address_2": "16",
"city": "LA MESA",
"state": "CA",
"postal_code": "919421548",
"telephone_number": "307-689-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 MISSION CENTER CT",
"address_2": "STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081319",
"telephone_number": "619-692-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CYNTHIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "NELSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.