Kathleen Marie Smith, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2212 Issued in CA

Practice address

3294 Santa Fe Ave
Long Beach, CA 90810-2408

Phone

(562) 424-0757

NPI assigned

Feb 12, 2016

Last updated

Feb 12, 2016By the provider in NPPES

Sex

Female

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

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1760841175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 11TH ST # 2",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406426",
            "telephone_number": "562-999-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908102408",
            "telephone_number": "562-424-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Ernest Smith, MASTER OF SCIENCE PA
• Gretchen Donnel Smith, MPPA
• Heidi Marie Smith, RDN
• Jacqueline M Smith
• Karina Smith
• Katrina Smith
• Keeya Smith
• Kimisha Smith
• Latoya Elaine Smith, ACNS-BC
• Linda Smith, RN

• Occupational Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Occupational Therapist in California

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