Active NPI
Brian Smart, OTR/L
- Occupational Therapist
- Pitman, NJ
National Provider Identifier
1710697891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00806300
- Practice address
- 14 Grandview Ave
Pitman, NJ 08071-1504 - Phone
- (609) 502-8648
- NPI assigned
- Nov 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC015367 | PA | |
| Occupational Therapist | 225X00000X | 46TR00806300 | NJ | Primary |
Addresses
Primary practice location
14 Grandview Ave
Pitman, NJ 08071-1504
Mailing address
14 Grandview Ave
Pitman, NJ 08071-1504
Phone (609) 502-8648
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 |
|---|---|---|---|
| 46TR00806300 | NJ | MD | Occupational Therapist |
| OC015367 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1710697891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 GRANDVIEW AVE",
"city": "PITMAN",
"state": "NJ",
"postal_code": "080711504",
"telephone_number": "609-502-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 GRANDVIEW AVE",
"city": "PITMAN",
"state": "NJ",
"postal_code": "080711504",
"telephone_number": "609-502-8648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "BRIAN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC015367",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00806300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pitman, NJ
- Seeds of Love Yoga Inc
- Leo Joseph Selm III, PSY. D.
- Sheffer Chiropractic and Wellness Center, PC
- Joseph W Sheffer, DC
- Emilee Shindel
- John Sobieski
- Sondercare Therapeutic Services
- South Jersey Center for Psychological Services, LLC
- South Jersey Psychological and Counseling Services, LLC
- South Jersey Wellness Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.