Julie R. Smuckler, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2000156974 Issued in MO

Practice address

4810 Meadows Pkwy
Weldon Spring, MO 63304-2227

Phone

(636) 851-6000

NPI assigned

Feb 5, 2007

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811036296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 LIGHTHOUSE WAY DR APT H",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415402",
            "telephone_number": "314-878-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 MEADOWS PKWY",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633042227",
            "telephone_number": "636-851-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUCKLER",
        "first_name": "JULIE",
        "middle_name": "R.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2000156974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula K Sieve
• Dennis Kirk Sissom, LPTA
• Kathryn Emily Sitki, NP
• Clifton A Smith
• Linsey Smith, OT, DOT
• Soh of Missouri (Weldon Spring Dental)
• Soh of Missouri Samson Liu PC (SOHDental)
• Soh of Missouri Samson Liu PC (Weldon Orthodontics)
• St. Charles Psychiatric Associates, Inc.
• Lynn Marie Stark, APRN

• Occupational Therapist in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.