Taylor Lee Smith, OTR/L

Individual provider Active NPI Occupational Therapist · Kula, HI

NPI 1891207205 · NPPES record last updated Oct 26, 2017

Key facts

NPI
1891207205
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1616 (HI)
Practice address
100 Keokea PL
Kula, HI 96790-7450
Phone
(808) 878-1221
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
020042-1NYMDPsychologist
1616HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MM Medical Transport LLC Occupational Therapist Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 020042-1 NY
Occupational Therapist 225X00000X 1616 HI Yes

Addresses

Primary practice location

100 Keokea PL
Kula, HI 96790-7450

Mailing address

4 Rossman Dr
Webster, NY 14580-2151

Other providers in Kula, HI

All providers in Kula, HI · Occupational Therapist in Hawaii

Sources for this page

Verify at the official NPI Registry.