Shawnee Smith, OT,LMT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13379 Issued in FL

Practice address

118 Lake Emerald Dr
# 102
Oakland Park, FL 33309-6272

Phone

(646) 413-9256

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lymphatx Inc

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
  • NPI 1275740995
  Medicare reassignment NPD
• Lymphatx Inc

  • Durable Medical Equipment & Medical Supplies
  • Tamarac, FL
  • NPI 1053139964

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1760634711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 LAKE EMERALD DR",
            "address_2": "# 102",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333096272",
            "telephone_number": "646-413-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LAKE EMERALD DR",
            "address_2": "# 102",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333096272",
            "telephone_number": "646-413-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAWNEE",
        "credential": "OT,LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA49229",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "13379",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "OT13379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Small, MS, CAC
• Allison Smalling
• Waide L Smart, RRT
• Smiling Heart Home Health Services, LLC.
• Dante T Smith
• Eugene Snell
• SNG Labs-SNG Prosthetic Eye Institute, Inc.
• Alexandr Socrovisciuc, PMHNP-BC
• Bonnie Soffin, M.S.CCCA AUDIOLOGIST
• Soma Medical Center, PA 2

• Occupational Therapist in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.