Individual provider Active NPI

Victorie Noelle Steed, MS OTR/L

  • Occupational Therapist
  • Evans, GA
National Provider Identifier
1578973582
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005901 Issued in GA
Practice address
621 Ponder Place Dr Ste 2
Evans, GA 30809-3121
Phone
(706) 310-8383
Fax
(888) 528-0136
NPI assigned
Apr 29, 2014
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT005901 GA Primary
Pediatric Occupational Therapist 225XP0200X OT005901 GA

Addresses

Primary practice location

621 Ponder Place Dr Ste 2
Evans, GA 30809-3121

Mailing address

2422 Forest Park Rd
Augusta, GA 30904-3305
Phone (256) 328-1457

Other names 1

  • Ms. Victorie Noelle Smith Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT005901GAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Pediatric Therapy and Group Services LLC Pediatrics CurrentSince Feb 1, 2022 Accepting new patients
Sensational Kids Pediatric Rehabilitation & Counseling, Inc. Past Accepting new patients

Locations

621 Ponder Place Dr
Ste 2
Evans, GA 30809
Phone (706) 310-8383

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1578973582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 FOREST PARK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043305",
            "telephone_number": "256-328-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PONDER PLACE DR STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093121",
            "telephone_number": "706-310-8383",
            "fax_number": "888-528-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEED",
        "first_name": "VICTORIE",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005901",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT005901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIE",
            "last_name": "SMITH",
            "middle_name": "NOELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.