Carmen Rae Smith, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

19183 Issued in CA

Practice address

2521 Windward Way
Chula Vista, CA 91914-4526

Phone

(619) 621-5266

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Little Roots Occupational Therapy

  • Occupational Therapist
  • San Diego, CA
  • NPI 1982392676
  NPD Authorized official
• K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation

  • Pediatric Physical Therapist
  • San Diego, CA
  • NPI 1598724577

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1861975419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 THOMAS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094336",
            "telephone_number": "480-244-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 WINDWARD WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144526",
            "telephone_number": "619-621-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13223 Black Mountain Rd # 1358",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921292698",
            "country_code": "US",
            "telephone_number": "480-244-6058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARMEN",
        "middle_name": "RAE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "19183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Slowbirth
• Smart Hands Physical Therapy
• Alyssa Beatriz Smith
• Andres Smith, M.D.
• Angelica Camiya Smith
• Consuelo Smith
• Danielle Smith
• Emma Louise Smith
• Jesse Stallworth Smith, DPT
• Kaitlin Maret Smith

• Pediatric Occupational Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.