Active NPI
Karolina J. Smidowicz, OTR/L, CLT
- Occupational Therapist
- Winston Salem, NC
National Provider Identifier
1902460389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7798
- Practice address
- 1903 S Hawthorne Rd
Winston Salem, NC 27103-3916 - Phone
- (336) 718-6700
- Fax
- (336) 718-6798
- NPI assigned
- May 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7798 | NC | Primary |
Addresses
Primary practice location
1903 S Hawthorne Rd
Winston Salem, NC 27103-3916
Mailing address
PO Box 601791
Charlotte, NC 28260-1791
Other practice location 1
3812 Forrestgate Dr
Winston Salem, NC 27103-3036
Phone (336) 768-2011
Other practice location 2
6970 Simmons Rd
Rural Hall, NC 27045-9896
Phone (336) 671-8027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7798 | Other | NC | NC BOARD OF OCCUPATIONAL THERAPY |
Other names 1
- Karolina Julia Smidowicz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7798 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1902460389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601791",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 S HAWTHORNE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033916",
"telephone_number": "336-718-6700",
"fax_number": "336-718-6798"
}
],
"practiceLocations": [
{
"address_1": "3812 Forrestgate Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271033036",
"country_code": "US",
"telephone_number": "336-768-2011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6970 Simmons Rd",
"address_purpose": "LOCATION",
"city": "Rural Hall",
"state": "NC",
"postal_code": "270459896",
"country_code": "US",
"telephone_number": "336-671-8027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMIDOWICZ",
"first_name": "KAROLINA",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "OTR/L, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "7798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF OCCUPATIONAL THERAPY",
"identifier": "7798",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAROLINA",
"last_name": "SMIDOWICZ",
"middle_name": "JULIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.