Richard K. Smith, CTRS,WOSH

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

32086 Issued in NY

Practice address

1139 Huntington Dr
South Pasadena, CA 91030-4516

Phone

(310) 478-3711

Fax

(310) 268-3279

NPI assigned

Oct 25, 2006

Sex

Male

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598840084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 HUNTINGTON DR",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304516",
            "telephone_number": "310-478-3711",
            "fax_number": "310-268-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 HUNTINGTON DR",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304516",
            "telephone_number": "310-478-3711",
            "fax_number": "310-268-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICHARD",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "CTRS,WOSH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NY",
            "license": "32086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramila Sloane
• Stacey Slocum
• Brenda Carol Smith, MD
• Catherine S Smith, PH.D.
• Christine Sue Smith, D.C.
• Stan Smith Smith, LCSW
• Steven Anthony Sneed
• Nicholas Sniffen, DC
• Brendan Sobottka
• Heidi Grace Marie Soderholm, LMFT

• Recreation Therapist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Recreation Therapist in California

• 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.