Donna Smith, COTA

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OTA11958 Issued in FL

Practice address

8563 Argyle Business Loop
Suite 2
Jacksonville, FL 32244-6668

Phone

(904) 375-0830

Fax

(877) 811-4031

NPI assigned

Nov 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1689951402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 RAGGEDY POINT RD",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037843",
            "telephone_number": "904-269-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8563 ARGYLE BUSINESS LOOP",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446668",
            "telephone_number": "904-375-0830",
            "fax_number": "877-811-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONNA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "OTA11958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPT. OF HEALTH",
            "identifier": "OTA11958",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Alan Smith, CRNA
• David Channing Smith, MS, THD
• Davita Noell Smith, FNP
• Denise Smith, APRN
• Dennis M Smith, MD
• Donna Dorman Smith, CRNA
• Donna Jo Smith, PA-C
• Doris Elizabeth Smith, ARNP
• Duncan Kenneth Smith, O.D.
• Edward W.P. Smith, MD

• Rehabilitation Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.