Active NPI
Wendy Smith, MS, OTR
- Occupational Therapist
- La Porte, IN
National Provider Identifier
1730213224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31000490A
- Practice address
- 3132 W Shorewood Dr
La Porte, IN 46350-7516 - Phone
- (219) 324-8693
- Fax
- (219) 324-8693
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 31000490A | IN | Primary |
Addresses
Primary practice location
3132 W Shorewood Dr
La Porte, IN 46350-7516
Mailing address
3132 W Shorewood Dr
La Porte, IN 46350-7516
Phone (219) 324-8693
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31000490A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730213224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 W SHOREWOOD DR",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463507516",
"telephone_number": "219-324-8693",
"fax_number": "219-324-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 W SHOREWOOD DR",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463507516",
"telephone_number": "219-324-8693",
"fax_number": "219-324-8693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WENDY",
"credential": "MS, OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31000490A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Porte, IN
- SK Med LLC (Interventional Pain Specialists of Indiana)
- Amanda Smith, MS CCC SLP
- Julie Smith, LSW
- Kimberly K Smith, DC
- Maureen Jill Hogan Smith, FNP-BC
- SNH Indy Tenant LLC (Oak Woods Manor)
- Nicole A Snyder, LCSW
- Dennis L Sommer, OD
- Kathryn Ann Sommer, O.D.
- South Laporte Special Education Cooperative
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.