Individual provider Active NPI

Emilee Smith, MOT, OTR/L

  • Occupational Therapist
  • Marengo, OH
National Provider Identifier
1801387410
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10146 Issued in OH
Practice address
1300 State Route 314
Marengo, OH 43334-9729
Phone
(419) 768-3301
NPI assigned
May 21, 2018
Last updated
May 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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 10146 OH Primary

Addresses

Primary practice location

1300 State Route 314
Marengo, OH 43334-9729

Mailing address

1300 State Route 314
Marengo, OH 43334-9729
Phone (419) 768-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009001531 OH Practitioner - Occupational Therapist in Private Practice 3779835327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10146OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitative Associates Inc Occupational Therapist CurrentSince Sep 4, 2018 Accepting new patients
Rehabilitative Associates Inc Occupational Therapist CurrentSince Sep 4, 2018 Accepting new patients

Locations

351 S Lane St
Ste 1
Bucyrus, OH 44820
Phone (419) 562-6686

1265 Lexington Ave
Mansfield, OH 44907
Phone (419) 525-4200

112 Harcourt Rd
Ste 1
Mount Vernon, OH 43050
Phone (740) 392-8811

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1801387410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 STATE ROUTE 314",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349729",
            "telephone_number": "419-768-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 STATE ROUTE 314",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349729",
            "telephone_number": "419-768-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILEE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "10146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marengo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.