Danielle Smith, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 17465 Issued in FL

Practice address

164 NW Madison St
Lake City, FL 32055-3904

Phone

(386) 758-1811

NPI assigned

Jan 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1902263189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 NW MADISON ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553904",
            "telephone_number": "386-758-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 NW MADISON ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553904",
            "telephone_number": "386-758-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 17465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Designs by Charlotte Gerry
• Smile Designs by Dr. Charlotte Gerry
• Fabray Dealow Smith-Wiggins, LCSW
• Ayanna Smith, LMT
• Bethany Grace Smith
• Jessica Lynn Smith
• Maria D. Smith, M.D.
• Marian Haftel Smith, LMHC, LPC
• Megan Fultz Smith, ARNP
• Michelle Lynnette Smith, PH.D.

• Occupational Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.