Elizabeth Blair Smith, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT12075 Issued in FL

Practice address

12539 Natureview Cir
Bradenton, FL 34212-2984

Phone

(941) 320-5377

NPI assigned

Apr 24, 2019

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

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carmine Chioccariello PT PAGroup PAC ID 0749447969, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Carmine Chioccariello PT PA

  • Physical Therapist
  • Saint Petersburg, FL
  • NPI 1811106941
  Medicare reassignment Care Compare group NPD
• New Horizon Pediatric Services LLC

  • Clinic/Center
  • Clearwater, FL
  • NPI 1992256481

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1649834722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12539 NATUREVIEW CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122984",
            "telephone_number": "941-320-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12539 NATUREVIEW CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122984",
            "telephone_number": "941-320-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "BLAIR",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton James Smith
• Crystal K Smith
• Daniel P Smith, M.D.
• David Smith, D.M.D
• Deshawn Smith
• Ellen Frances Smith, DPT
• Hailey Smith
• Jasmine Smith, APRN
• Jeffrey Robert Smith, DMD
• Jenna Smith, CNM

• Occupational Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.