Kia Michelle Smith, MOTR/L, MPH

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.10007 Issued in IL

Practice address

14601 John Humphrey Drive
Orland Park, IL 60462

Phone

(708) 349-8300

Fax

(708) 403-7608

NPI assigned

Jul 31, 2013

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 names 1

• Ms. Kia Michelle Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1700218823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622641",
            "telephone_number": "708-349-8300",
            "fax_number": "708-403-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 JOHN HUMPHREY DRIVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60462",
            "telephone_number": "708-349-8300",
            "fax_number": "708-403-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MOTR/L, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.10007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIA",
            "last_name": "SMITH",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "MOTR/L, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bonnie Jo Smith, DT
• Courtney Lynn Smith, M.A., LPC
• Gabrielle Anne Smith, PA-C
• Jack Smith, L.C.P.C.
• Jennifer Deborae Smith, LCPC
• Ayelet Snow II, M.D.
• Khalil Snowber, DO
• Kristen Snyder, LSW
• Samantha Sobolewski
• Social Service Direct LLC

• Occupational Therapist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.