Heather Jean-Wittman Smith, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2055-027 Issued in WI

Practice address

1101 E South River St
Appleton, WI 54915-2223

Phone

(920) 830-9911

Fax

(920) 997-8673

NPI assigned

Nov 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• PRN Home Health & Therapy, LLC

  • Home Health Agency
  • Appleton, WI
  • NPI 1396111068
  NPD (past)
• RG-Rhinelander, Inc.

  • Skilled Nursing Facility
  • Rhinelander, WI
  • NPI 1407164312
  NPD (past)
• Valley-Bay Therapy Inc.

  • Specialist
  • Appleton, WI
  • NPI 1720138514

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1669626446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 SPRINGCREST DR",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541304331",
            "telephone_number": "920-470-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E SOUTH RIVER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152223",
            "telephone_number": "920-830-9911",
            "fax_number": "920-997-8673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 N Ballard Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549119001",
            "country_code": "US",
            "telephone_number": "920-735-9234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 E Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549111325",
            "country_code": "US",
            "telephone_number": "920-731-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "JEAN-WITTMAN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "2055-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Smigielski
• Amanda R Smith, APNP
• Angela L Smith
• Christopher D Smith, OD
• Dean Smith, MD
• Jerry Smith
• Jodie Ann Smith
• Jordan Smith, LMT
• Josette M Smith, LPC
• Marcia Ann Smith, ANP

• Occupational Therapy Assistant in Appleton, WI
• Providers in Appleton, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.