Individual provider Active NPI

Sierra Smith, OTR/L

  • Occupational Therapist
  • Eden, NC
National Provider Identifier
1669229027
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16698 Issued in NC
Practice address
207 E Meadow Rd Ste 3
Eden, NC 27288-3469
Phone
(336) 627-3771
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 16698 NC Primary

Addresses

Primary practice location

207 E Meadow Rd Ste 3
Eden, NC 27288-3469

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

2457 Fairview Farm Rd
Asheboro, NC 27205-8633
Phone (336) 870-7860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250310002090 NC Practitioner - Occupational Therapist in Private Practice 2961923750 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10020 Monroe Rd
Suite 160
Matthews, NC 28105-5492
Phone (704) 841-0894

1262 S Stratford Rd
Winston Salem, NC 27103-3016
Phone (336) 369-1151

207 E Meadow Rd
Suite 3
Eden, NC 27288-3469
Phone (336) 627-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16698NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy of North Carolina LLC Occupational Therapist CurrentSince Dec 30, 2024 Accepting new patients
Benchmark Physical Therapy of NC, LLC Occupational Therapist CurrentSince Dec 30, 2024 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Dec 30, 2024 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Occupational Therapist CurrentSince Dec 30, 2024 Accepting new patients
Physical Therapy and Hand Specialists, LLC Occupational Therapist CurrentSince Dec 30, 2024 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Dec 30, 2024 Accepting new patients
Kidd's Connect OT, L.L.C. Occupational Therapist CurrentSince May 1, 2024 Accepting new patients
Agilitas USA, Inc Occupational Therapist CurrentSince Dec 30, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1669229027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E MEADOW RD STE 3",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272883469",
            "telephone_number": "336-627-3771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2457 Fairview Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272058633",
            "country_code": "US",
            "telephone_number": "336-870-7860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SIERRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.