Active NPI
Kimberly Ashlyn Smith, OTD, OTR/L
- Occupational Therapist
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119008643
- Practice address
- 13801 St Francis Blvd Ste 200
Midlothian, VA 23114-3206 - Phone
- (804) 379-2414
- NPI assigned
- Dec 18, 2020
- Last updated
- Jan 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119008643 | VA | Primary |
| Occupational Therapist | 225X00000X | 0119-008643 | VA |
Addresses
Primary practice location
13801 St Francis Blvd Ste 200
Midlothian, VA 23114-3206
Mailing address
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225-4067
Phone (804) 560-5595
Other practice location 1
95 Medical Park Blvd
Petersburg, VA 23805-9280
Phone (804) 504-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Virginia Commonwealth University, School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 Boulders Pkwy
North Chesterfield, VA 23225-4067
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119-008643 | VA | MD | Occupational Therapist |
| 0119008643 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia, Inc. | Occupational Therapist | Current | Accepting new patients |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia Inc | Occupational Therapist | Current | Accepting new patients |
Locations
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
13801 St Francis Blvd
Ste 200
Midlothian, VA 23114
Phone (804) 320-4064
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
Occupational Therapist
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
dba West End Orthopaedic Clinic, Inc
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1730775107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 BOULDERS PKWY",
"address_2": "STE 200",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232254067",
"telephone_number": "804-560-5595",
"fax_number": "804-560-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 ST FRANCIS BLVD STE 200",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231143206",
"telephone_number": "804-379-2414"
}
],
"practiceLocations": [
{
"address_1": "95 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Petersburg",
"state": "VA",
"postal_code": "238059280",
"country_code": "US",
"telephone_number": "804-504-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "KIMBERLY",
"middle_name": "ASHLYN",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119008643",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119-008643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.