Individual provider Active NPI

Tameka Monique Smith, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1659672996
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016358-1 Issued in NY
Practice address
208 Madison St
Brooklyn, NY 11216-1605
Phone
(718) 208-5389
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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 016358-1 NY Primary

Addresses

Primary practice location

208 Madison St
Brooklyn, NY 11216-1605

Mailing address

208 Madison St
Brooklyn, NY 11216-1605
Phone (718) 208-5389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909000573 NY Practitioner - Occupational Therapist in Private Practice 7911126875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7649 Hewlett St
New Hyde Park, NY 11040-1429
Phone (212) 388-0767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016358-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Nov 3, 2017 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Oct 1, 2014 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jul 1, 2014 Accepting new patients
Essential OT, PT, SLP & Psychology Services, PLLC CurrentSince Oct 8, 2023 Accepting new patients
Essential Therapy Services of NJ Occupational Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1659672996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MADISON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161605",
            "telephone_number": "718-208-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MADISON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161605",
            "telephone_number": "718-208-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAMEKA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016358-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.