Individual provider Active NPI

Jaime Smith

  • Occupational Therapist
  • Laredo, TX
National Provider Identifier
1760834816
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
117729 Issued in TX
Practice address
3507 Jaime Zapata Memorial Hwy
Suite 7a
Laredo, TX 78043-4769
Phone
(956) 753-5600
Fax
(956) 753-5602
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 117729 TX Primary

Addresses

Primary practice location

3507 Jaime Zapata Memorial Hwy
Suite 7a
Laredo, TX 78043-4769

Mailing address

3507 Jaime Zapata Memorial Hwy
Suite 7a
Laredo, TX 78043-4769
Phone (956) 753-5600

Other identifiers 1

IdentifierTypeStateIssuer
117729OtherTXSTATE LICENSE

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

LicenseStateTypeSpecialty
117729TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Rehab Services Inc Occupational Therapist Past Accepting new patients
Mercy Rehab Services Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1760834816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 JAIME ZAPATA MEMORIAL HWY",
            "address_2": "SUITE 7A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434769",
            "telephone_number": "956-753-5600",
            "fax_number": "956-753-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 JAIME ZAPATA MEMORIAL HWY",
            "address_2": "SUITE 7A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434769",
            "telephone_number": "956-753-5600",
            "fax_number": "956-753-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "117729",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.