Bonnie Marie Smith-Marino, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5622 Issued in CA

Practice address

5270 Elvas Ave
Sacramento, CA 95819-2332

Phone

(916) 346-9352

NPI assigned

Aug 3, 2021

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

Electronic endpoints 1

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1780358705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 DURANGO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241905",
            "telephone_number": "916-509-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 ELVAS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192332",
            "telephone_number": "916-346-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-MARINO",
        "first_name": "BONNIE",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "5622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bonnie@capitalkidsplace.com",
            "affiliation": "N",
            "address_1": "5270 Elvas Ave",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958192332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Smith Morton, PHARM.D
• Tiffany Smith Starks
• Alisia Smith-Anderson, LMFT
• Michael Robert Smith-Anderson, MFTI
• Cheryl Smith-Lee
• Justin Quaron Smith-Mayers
• Aaron Smith, PH.D.
• Aaron Smith
• Aaron R Smith
• Aisha A Smith

• Occupational Therapy Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.