Active NPI
Perry Dale Smith II, OTR/L
- Occupational Therapist
- Chatom, AL
National Provider Identifier
1750893475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3417
- Practice address
- 14600 Saint Stephens Ave
Chatom, AL 36518-6711 - Phone
- (251) 847-2223
- NPI assigned
- Nov 3, 2017
- Last updated
- Nov 3, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 3417 | AL | Primary |
Addresses
Primary practice location
14600 Saint Stephens Ave
Chatom, AL 36518-6711
Mailing address
14600 Saint Stephens Ave
Chatom, AL 36518-6711
Phone (251) 847-2223
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3417 | AL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1750893475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14600 SAINT STEPHENS AVE",
"city": "CHATOM",
"state": "AL",
"postal_code": "365186711",
"telephone_number": "251-847-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14600 SAINT STEPHENS AVE",
"city": "CHATOM",
"state": "AL",
"postal_code": "365186711",
"telephone_number": "251-847-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PERRY",
"middle_name": "DALE",
"name_suffix": "II",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "3417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatom, AL
- Pulmonary Associate of Mobile PC
- Milton Samuel Reynolds Jr., DMD
- Leslie Savage, RBT
- SCF Family First Counseling, Inc.
- Katelyn Victoria Singley, RBT
- State of Alabama
- State of Alabama Department of Public Health (Washington County Home Care)
- State of Alabama Department of Public Health (Washington County Home Care)
- State of Alabama Department of Public Health (Washington County Health Dept Flu-Pneu)
- State of Alabama Department of Public Health (Washington County Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.