Active NPI
Michaela K Smith, OTR/L
- Occupational Therapist
- Portsmouth, NH
National Provider Identifier
1518464015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3919
- Practice address
- 342 Islington St Apt 2
Portsmouth, NH 03801-8222 - Phone
- (518) 821-1851
- NPI assigned
- Apr 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12893 | MA | |
| Occupational Therapist | 225X00000X | 2936 | NH | |
| Occupational Therapist | 225X00000X | 08457 | MD | |
| Occupational Therapist | 225X00000X | OT3919 | ME | Primary |
Addresses
Primary practice location
342 Islington St Apt 2
Portsmouth, NH 03801-8222
Mailing address
342 Islington St Apt 2
Portsmouth, NH 03801-8222
Phone (518) 821-1851
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2936 | Other | NH | OCCUPATIONAL THERAPY LICENSE |
| 08457 | Other | MD | OCCUPATIONAL THERAPY LICENSE |
| OT3919 | Other | ME | OCCUPATIONAL THERAPY LICENSE |
| 12893 | Other | MA | OCCUPATIONAL THERAPY LICENSE |
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 |
|---|---|---|---|
| 08457 | MD | MD | General Practice Dentistry |
| 2936 | NH | MD | Physical Therapist |
| 12893 | MA | MD | Occupational Therapist |
| OT3919 | ME | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1518464015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 ISLINGTON ST APT 2",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038018222",
"telephone_number": "518-821-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 ISLINGTON ST APT 2",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038018222",
"telephone_number": "518-821-1851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAELA",
"middle_name": "K",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-11",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "12893",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "2936",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08457",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT3919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "2936",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "08457",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "OT3919",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "12893",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.