Active NPI
Aeisha Smith
- Occupational Therapy Assistant
- Far Rockaway, NY
National Provider Identifier
1811448707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 007016-1
- Practice address
- 414 Beach 37TH St
Far Rockaway, NY 11691-1509 - Phone
- (516) 589-6814
- NPI assigned
- Oct 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 007016-1 | NY | Primary |
Addresses
Primary practice location
414 Beach 37TH St
Far Rockaway, NY 11691-1509
Mailing address
414 Beach 37TH St
Far Rockaway, NY 11691-1509
Phone (516) 589-6814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007016-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1811448707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 BEACH 37TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911509",
"telephone_number": "516-589-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 BEACH 37TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911509",
"telephone_number": "516-589-6814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AEISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "007016-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.