Tonya Sharelle Smith-Jackson, OTR/L, CLT-LANA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT8797 Issued in FL

Practice address

2501 N Orange Ave Ste 186
Orlando, FL 32804-4675

Phone

(407) 303-9727

NPI assigned

Jul 14, 2017

Sex

Female

Sole proprietor

Yes

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1821510561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 WOODWIND DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327037244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 186",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044675",
            "telephone_number": "407-303-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-JACKSON",
        "first_name": "TONYA",
        "middle_name": "SHARELLE",
        "credential": "OTR/L, CLT-LANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT8797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Smiley, PH.D.
• Smilez
• Patricia Eileen Smith - Martin, PT
• Joshua Francois Smith-Benson, PHARMD
• Amelia Alicia Smith-Dixon, M.D.
• Cheryll N. Smith-Martinez, MD
• Kimberly Smith-Olson, PT
• Ciara Smith-Vazquez, M.S., CCC-SLP
• Nidia Alicia Smith-Villanueva
• Adelaide Chloe Smith, NP-C

• Occupational Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.