Active NPI
Christina SW Smethie, OTRL CHT
- Occupational Therapist
- St Augustine, FL
National Provider Identifier
1700988557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 731
- Practice address
- 1690 US Highway 1 S Ste a
St Augustine, FL 32084-6024 - Phone
- (904) 810-2101
- Fax
- (904) 810-2106
- NPI assigned
- Sep 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 731 | FL | Primary |
Addresses
Primary practice location
1690 US Highway 1 S Ste a
St Augustine, FL 32084-6024
Mailing address
208 Moses Creek Blvd
St Augustine, FL 32086-5675
Phone (561) 319-7361
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG424Z | Other | FL | MEDICARE PTAN |
| AG243 | Other | FL | MEDICARE PTAN GROUP |
| 880568700 | Medicaid | FL |
Other names 1
- Ms. Christina S Wiley Smethie
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 731 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1700988557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 MOSES CREEK BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865675",
"telephone_number": "561-319-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 US HIGHWAY 1 S STE A",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320846024",
"telephone_number": "904-810-2101",
"fax_number": "904-810-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMETHIE",
"first_name": "CHRISTINA",
"middle_name": "SW",
"name_prefix": "Ms.",
"credential": "OTRL CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AG424Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN GROUP",
"identifier": "AG243",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "880568700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "WILEY SMETHIE",
"middle_name": "S",
"prefix": "MS.",
"credential": "OTRL CHT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.