Active NPI
Leslie Smart, OTR
- Occupational Therapist
- Austin, TX
National Provider Identifier
1689769317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105922
- Practice address
- 9101 Burnet Rd Ste 103
Austin, TX 78758-5260 - Phone
- (512) 248-2422
- Fax
- (512) 248-2354
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 105922 | TX | |
| Occupational Therapist | 225X00000X | 105922 | TX | Primary |
Addresses
Primary practice location
9101 Burnet Rd Ste 103
Austin, TX 78758-5260
Mailing address
12708 Riata Vista Cir Ste a-126
Austin, TX 78727-7186
Phone (512) 637-2002
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 |
|---|---|---|---|
| 105922 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1689769317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12708 RIATA VISTA CIR STE A-126",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787277186",
"telephone_number": "512-637-2002",
"fax_number": "512-637-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 BURNET RD STE 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585260",
"telephone_number": "512-248-2422",
"fax_number": "512-248-2354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "105922",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.