Teresa J Smith, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3440 Issued in ME

Practice address

22 Bramhall Street
Portland, ME 04102-4114

Phone

(207) 662-4892

NPI assigned

Feb 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Teresa J Wang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1821238536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 TUTTLE RD.",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040217574",
            "telephone_number": "207-400-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL STREET",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041024114",
            "telephone_number": "207-662-4892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Westminster Street",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042404114",
            "country_code": "US",
            "telephone_number": "207-753-6503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Spring Street",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040744114",
            "country_code": "US",
            "telephone_number": "207-396-7337 x2",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 E North Broadway St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432144114",
            "country_code": "US",
            "telephone_number": "614-261-5478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERESA",
        "middle_name": "J",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-5619",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "WANG",
            "middle_name": "J",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosemarie Smith, MD
• Samantha Danielle Smith, CST
• Shane Smith, OT
• Shannon Smith, CRNA
• Sharon Lynn Smith, PA
• Wendy E Smith, MD
• Wiley Joseph Smith, M.D.
• Antoinette Smothers
• Jacqueline Smyth, DNP
• Kelsey Snapp

• Occupational Therapist in Portland, ME
• Providers in Portland, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.