Carlton Smith Jr., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31007737A Issued in IN

Practice address

922 Harbor Ave
South Bend, IN 46615-3426

Phone

(574) 315-6093

NPI assigned

May 22, 2024

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

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thrive Neuro Therapy, LLC

  • Physical Therapy Clinic/Center
  • South Bend, IN
  • NPI 1700647054
  Medicare reassignment NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1740029446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 HARBOR AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 HARBOR AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153426",
            "telephone_number": "574-315-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLTON",
        "name_suffix": "Jr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007737A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Smilgius, LCSW
• Lori Smith-Kaminsky, PHARMD
• Abbee Dallek Smith, LCSW
• Adam Smith, LMHC
• Amber Dawn Smith, COTA
• Christopher Joseph Smith, DPT
• David A Smith, PHD, ABPP, HSPP
• Donald W Smith, MD
• Jessica L Smith, LMHCA
• Kayleigh Anne Smith

• Occupational Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.