Mitchell L Smith, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC61341591 Issued in WA

Practice address

13037 NE Bel Red Rd Ste 102
Bellevue, WA 98005-2618

Phone

(425) 502-9440

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1730902263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 NE 4TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13037 NE BEL RED RD STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052618",
            "telephone_number": "425-502-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MITCHELL",
        "middle_name": "L",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC61341591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lem Michael Smith, M.D.
• Leslie Elaine Smith, ARNP
• Linda Kaye Smith, M.A.,LMHC
• Melicent Mae Smith, MS, RD, CD
• Miranda Renee Smith, CB70019269
• Sarah Smith
• Sarah Elizabeth Smith
• Stacey Smith, RPH
• Stephen L Smith, M.D.
• Galina Smolniakova

• Occupational Therapy Assistant in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.