Individual provider Active NPI

Lauren Marie Hamilton Smollin, OTR/L

  • Occupational Therapist
  • Kelso, WA
National Provider Identifier
1659141448
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61511084 Issued in WA
Practice address
601 Crawford St
Kelso, WA 98626-4315
Phone
(360) 501-1900
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61511084 WA Primary

Addresses

Primary practice location

601 Crawford St
Kelso, WA 98626-4315

Mailing address

12505 SW North Dakota St Apt 703
Tigard, OR 97223-3288
Phone (360) 601-0544

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

State licenses

LicenseStateTypeSpecialty
OT61511084WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1659141448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 SW NORTH DAKOTA ST APT 703",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233288",
            "telephone_number": "360-601-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CRAWFORD ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264315",
            "telephone_number": "360-501-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLLIN",
        "first_name": "LAUREN",
        "middle_name": "MARIE HAMILTON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61511084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kelso, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.