Regina Tucker Smith, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056001484 Issued in IL

Practice address

9410 S Bell Ave
Chicago, IL 60643-6743

Phone

(773) 239-6912

NPI assigned

Jun 30, 2009

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1861620734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 S BELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436743",
            "telephone_number": "773-239-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 S BELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436743",
            "telephone_number": "773-239-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REGINA",
        "middle_name": "TUCKER",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056001484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinar Jaclyn Smith, MD
• Rachel Elizabeth Smith, PSYD, MA, NCC
• Rachel M Smith, M.A, CCC-SLP
• Rashad Smith, LPC
• Rebecca Rose Smith, APRN CNM CDE
• Renata O Smith, PHARM.D.
• Robert Anthony Smith, MLD, LAT, ATC
• Robert Fielding Smith, M.D.
• Robert J Smith, LCSW, CADC
• Robin Marie Smith, LCSW

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.