Jade Smith, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-008482 Issued in AZ

Practice address

1244 E Bethany Home Rd Apt 33a
Phoenix, AZ 85014-2043

Phone

(505) 290-3917

NPI assigned

Aug 1, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1750991071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 E BETHANY HOME RD APT 33A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142043",
            "telephone_number": "505-290-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 E BETHANY HOME RD APT 33A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142043",
            "telephone_number": "505-290-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JADE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-01",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008482",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenneth P. Smith, P.T.
• Gwyndolen Smith, LPN
• Harriet J Smith, PHD
• Herman Bradley Smith, MD
• Jack Steven Smith, DC
• Jala Latrice Nicole Smith
• Jamie Meredith Smith
• Janet Smith, MNS, CCC-SLP
• Jaron Andrew Smith
• Jarrod Michael Smith, CPHT

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.