Haley Collard Smith, COTA/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

140 Thorne Blvd
Gallatin, TN 37066-1509

Phone

(615) 451-0788

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1780319111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 THORNE BLVD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370661509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 THORNE BLVD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370661509",
            "telephone_number": "615-451-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HALEY",
        "middle_name": "COLLARD",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1514814865",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NetHealth",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "140 Thorne Blvd",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Smash Factor Performance and Prevention
• SMG Lab PLLC Idtf
• Carol Smith, SLP-CCC
• Deborah Hope Smith, LMSW
• Earl Phillip Smith, DDS
• Holly Smith
• Joy D Smith, LMSW
• Marabeth Smith, MS
• Patricia L. Smith, FNP
• Russell R. Smith, M.D.

• Occupational Therapist in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.