Active NPI
Kaitlyn Mae Cremer Smith, OTD, OTR/L
- Low Vision Occupational Therapist
- Palatka, FL
National Provider Identifier
1659643930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- License
- OT14202
- Practice address
- 151 W Ranch TRL
Palatka, FL 32177-7775 - Phone
- (386) 937-9540
- NPI assigned
- Feb 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Occupational Therapist | 225XL0004X | OT14202 | FL | Primary |
Addresses
Primary practice location
151 W Ranch TRL
Palatka, FL 32177-7775
Mailing address
151 W Ranch TRL
Palatka, FL 32177-7775
Phone (386) 937-9540
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT14202 | FL | MD | Low Vision Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay Physical Therapy PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Orange Park, FL
- NPI 1902075914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1659643930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 W RANCH TRL",
"city": "PALATKA",
"state": "FL",
"postal_code": "321777775",
"telephone_number": "386-937-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W RANCH TRL",
"city": "PALATKA",
"state": "FL",
"postal_code": "321777775",
"telephone_number": "386-937-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREMER SMITH",
"first_name": "KAITLYN",
"middle_name": "MAE",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "FL",
"license": "OT14202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.