Carly Mae Smith, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

630 Stoneglen Dr Ste B
Keller, TX 76248-3626

Phone

(817) 734-6515

NPI assigned

Dec 13, 2021

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

Practice roles

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.

• Allison'S Therapy Corner

  • Behavior Technician
  • Fort Worth, TX
  • NPI 1548958200
  NPD (past)
• Allison'S Therapy Corner, LLC

  • Behavior Analyst
  • Fort Worth, TX
  • NPI 1184195737

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1720747173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 STONEGLEN DR STE B",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483626",
            "telephone_number": "817-734-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 STONEGLEN DR STE B",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483626",
            "telephone_number": "817-734-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLY",
        "middle_name": "MAE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Elizabeth Skrivanek, LMFT
• Sky Creek Dental
• Delaney E Slate, BCBA
• Carissa Small
• Adrienne Smith, APRN, WHNP-BC
• Chelsea Michelle Smith
• David Harrison Smith, D.C.
• Kimberly Jill Smith, LPC
• Samantha Smith
• Shandy Renee Smith, MS CCC-SLP

• Occupational Therapist in Keller, TX
• Providers in Keller, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.