Individual provider Active NPI

Katie Lynn Smith, OTR/L

  • Occupational Therapist
  • Lancaster, OH
National Provider Identifier
1558082685
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT011948 Issued in OH
Practice address
955 Liberty Dr
Lancaster, OH 43130-8045
Phone
(740) 653-3193
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT011948 OH Primary

Addresses

Primary practice location

955 Liberty Dr
Lancaster, OH 43130-8045

Mailing address

955 Liberty Dr
Lancaster, OH 43130-8045
Phone (740) 653-3193

Other practice location 1

200 Market Street
Lithopolis, OH 43110
Phone (614) 837-4044

Other practice location 2

328 E Main St
Amanda, OH 43102-9330
Phone (740) 969-7251

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

LicenseStateTypeSpecialty
OT011948OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield County Educational Service Center PastSince Sep 11, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1558082685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 LIBERTY DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308045",
            "telephone_number": "740-653-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LIBERTY DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308045",
            "telephone_number": "740-653-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Market Street",
            "address_purpose": "LOCATION",
            "city": "Lithopolis",
            "state": "OH",
            "postal_code": "43110",
            "country_code": "US",
            "telephone_number": "614-837-4044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "328 E Main St",
            "address_purpose": "LOCATION",
            "city": "Amanda",
            "state": "OH",
            "postal_code": "431029330",
            "country_code": "US",
            "telephone_number": "740-969-7251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.