Individual provider Active NPI

Linda Drury Smiciklas, OTR/L, CHT

  • Hand Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1831258896
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
1520 Issued in FL
Practice address
3848 Fau Blvd 105
Boca Raton, FL 33431-6437
Phone
(561) 395-2920
Fax
(561) 997-8929
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 1520 FL Primary

Addresses

Primary practice location

3848 Fau Blvd 105
Boca Raton, FL 33431-6437

Mailing address

3848 Fau Blvd 105
Boca Raton, FL 33431-6437
Phone (561) 395-2920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080205000352 FL Practitioner - Occupational Therapist in Private Practice 6608958293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metta Health Naturals LLCGroup PAC ID 4284095126, 4 clinicians
University Rehabilitation, LLCGroup PAC ID 6901884519, 20 clinicians

Practice addresses (Care Compare)

4475 US 1
Suite 704
St Augustine, FL 32086-7282
Phone (407) 782-3163

5575 A1A
Suite 113
St Augustine, FL 32080-7045
Phone (904) 217-8601

733 Dunlawton Ave
Suite 103
Port Orange, FL 32127-4226
Phone (386) 756-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1520FLMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy and Fitness by Linda, Inc Current Accepting new patients
Metta Health Naturals LLC CurrentSince Nov 18, 2024 Accepting new patients
University Rehabilitation, LLC CurrentSince Sep 16, 2024 Accepting new patients
Joyner Hand, PA Past Accepting new patients
Hands With Care Occupational Therapy and Rehabilitation LLC Hand PastSince Sep 30, 2008 Accepting new patients

Locations

733 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 756-0077

4475 US Highway 1 S
Ste 704
Saint Augustine, FL 32086
Phone (407) 782-3163

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1831258896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 FAU BLVD 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316437",
            "telephone_number": "561-395-2920",
            "fax_number": "561-997-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 FAU BLVD 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316437",
            "telephone_number": "561-395-2920",
            "fax_number": "561-997-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMICIKLAS",
        "first_name": "LINDA",
        "middle_name": "DRURY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "1520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.