Sarah E Smal, OTR/L
Individual provider Active NPI Occupational Therapist · Walton, KY
NPI 1669560207 · NPPES record last updated Dec 31, 2021
Key facts
- NPI
- 1669560207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 133958 (KY)
- Practice address
- 790 Chambers Rd
Walton, KY 41094-9509 - Phone
- (859) 786-9791
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240619000533 | KY | Practitioner - Occupational Therapist in Private Practice | 4587107503 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133958 | KY | MD | Occupational Therapist |
| KY-R3095 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Ky LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | KY-R3095 | KY | |
| Occupational Therapist | 225X00000X | 133958 | KY | Yes |
Addresses
Primary practice location
790 Chambers Rd
Walton, KY 41094-9509
Mailing address
790 Chambers Rd
Walton, KY 41094-9509
Phone (859) 786-9791
Other names
- Liezel Smal
Other providers in Walton, KY
- Robert William Seilhamer Jr.
- Nancy Shupe
- Erik Michael Simms
- Arnold D Slone
- Kayla R Slusher
- Olivia So
- Robert R. So
- Chelsea Rae Steinmetz
- Marcie Sweeney
- Amy C Collins Tucker
All providers in Walton, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.