Kelly Smith, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT11279 Issued in CA

Practice address

23361 Madero
Suite 200
Mission Viejo, CA 92691-2715

Phone

(949) 581-8239

Fax

(949) 859-0849

NPI assigned

Aug 30, 2010

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

State licenses

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1922314772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25842 EMPRESA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915735",
            "telephone_number": "949-581-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23361 MADERO",
            "address_2": "SUITE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912715",
            "telephone_number": "949-581-8239",
            "fax_number": "949-859-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT11279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Edward Skonezny, CADC-II, ICADC
• Helen Slama
• Smith-Teitelbaum Chiropractic Inc. (Teitelbaum Chiropractic, Inc.)
• Amber Smith, MS, RD
• Amy Smith
• Melanie A Smith, CLEC
• Sarah Smith
• Wilbur I Smith
• Linda Snell
• William Allen Snipes, M.S., CCC, SLP

• Occupational Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.