Susan P. Smith, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2107 Issued in AR

Practice address

1020 Sandino Dr
Jonesboro, AR 72401-8738

Phone

(870) 919-3141

NPI assigned

Jun 6, 2007

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578766606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SANDINO DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SANDINO DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018738",
            "telephone_number": "870-919-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "P.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Michael Smith, DDS
• Shane R Smith, MD
• Shaun Smith, PHARM D
• Skikeshia Smith
• Steffanie Smith
• Tana Smith, LPN
• Tyan Smith, LPN
• Ulisa D Smith
• Victoria Smith
• Wendell E Smith, LPC

• Occupational Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.