Sydney Lynn Smith, OTR/L

Key facts

NPI

1609456573

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

108292 (IA)

Practice address

502 Butler St
Ackley, IA 50601-1730

Phone

(641) 847-3531

NPI assigned

Apr 13, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 13, 2021.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1609456573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "GILBERTVILLE",
            "state": "IA",
            "postal_code": "506340372",
            "telephone_number": "816-456-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BUTLER ST",
            "city": "ACKLEY",
            "state": "IA",
            "postal_code": "506011730",
            "telephone_number": "641-847-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SYDNEY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "108292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ackley, IA

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• Donna Lu Roberts, RPH
• Kurt Matthew Sperfslage, DC
• Kristin Wilcox, MA SLP
• Joseph P Wojcik, MD

All providers in Ackley, IA · Occupational Therapist in Iowa