Active NPI
Stephen David Smith, OTR/L
- Occupational Therapist
- Hermiston, OR
National Provider Identifier
1689209447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 434544
- Practice address
- 610 NW 11TH St
Hermiston, OR 97838-6601 - Phone
- (416) 673-6575
- NPI assigned
- Mar 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 434544 | OR | Primary |
| Massage Therapist | 225700000X | MA61184819 | WA | |
| Occupational Therapist | 225X00000X | OT61261928 | WA |
Addresses
Primary practice location
610 NW 11TH St
Hermiston, OR 97838-6601
Mailing address
7976 W 10TH Ave Apt F330
Kennewick, WA 99336-5881
Phone (512) 420-3071
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61184819 | WA | MD | Massage Therapist |
| 434544 | OR | MD | Occupational Therapist |
| OT61261928 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeremy Ferron Stroud | 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.
-
- Clinic/Center
- Kennewick, WA
- NPI 1770263154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1689209447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7976 W 10TH AVE APT F330",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365881",
"telephone_number": "512-420-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 NW 11TH ST",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978386601",
"telephone_number": "416-673-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "STEPHEN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-11",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "434544",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61184819",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT61261928",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.