Individual provider Active NPI

Karly Danielle Smith, MOT, OTRL

  • Occupational Therapist
  • Farmington Hills, MI
National Provider Identifier
1821515263
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201009953 Issued in MI
Practice address
39300 W 12 Mile Rd Ste 105
Farmington Hills, MI 48331-3140
Phone
(734) 454-0866
NPI assigned
Aug 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 5201009953 MI Primary

Addresses

Primary practice location

39300 W 12 Mile Rd Ste 105
Farmington Hills, MI 48331-3140

Mailing address

25309 Pine Ridge Dr
Brownstown, MI 48134-9085
Phone (734) 365-3556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25309 Pine Ridge Dr
Brownstown, MI 48134-9085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201009953MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1821515263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25309 PINE RIDGE DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481349085",
            "telephone_number": "734-365-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39300 W 12 MILE RD STE 105",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313140",
            "telephone_number": "734-454-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KARLY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-26",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.