Patricia Smith, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2463-26 Issued in WI

Practice address

4224 Winnequah Rd
Monona, WI 53716-1043

Phone

(608) 358-3976

NPI assigned

Jul 19, 2006

Last updated

Apr 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1619996527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 WINNEQUAH RD",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537161043",
            "telephone_number": "608-358-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 WINNEQUAH RD",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537161043",
            "telephone_number": "608-358-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2463-26",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "WI",
            "license": "11134318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby June Sisler
• Amber Slabaugh, MSW, LCSW
• Pageen Manolis Small, RN
• Jobril Marquez Smith
• John Andrew Smith, LPC, CASC, ICS
• Joanne Lin Snow, MD
• Julie E Snyder
• Beverly J Speece, PA-C
• Megan Spina, LCSW
• Jessica A Stainbrook, PHARMD

• Occupational Therapist in Monona, WI
• Providers in Monona, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.