Lisa M Smith

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA3463 Issued in CA

Practice address

920 Westacre Rd
West Sacramento, CA 95691-3224

Phone

(916) 375-7740

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Developmental Occupational Therapy

  • Occupational Therapy Assistant
  • Sacramento, CA
  • NPI 1467218982
  NPD
• Developmental Occupational Therapy

  • Pediatric Occupational Therapist
  • Sacramento, CA
  • NPI 1922483122
  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1710590757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 AMERICAN RIVER DR STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645753",
            "telephone_number": "916-979-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WESTACRE RD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913224",
            "telephone_number": "916-375-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA3463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Sinistro, MS
• Muthumanimoli Sivakumaran, MD
• Alena Slobodenyuk
• Sherie Smalley, M.D.
• Holly Lenore Smith, R.N.
• Brianna Soares
• Katherine Mary Soltero, LCSW
• Somerset Nursing Center, Inc
• Evalin Sosa
• Yanely Sotelo

• Occupational Therapy Assistant in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.