Individual provider Active NPI

Jaimie Lynn Smith, OTD

  • Occupational Therapist
  • Sioux Falls, SD
National Provider Identifier
1932770179
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
6100 W 41St St Ste 102
Sioux Falls, SD 57106-5557
Phone
(605) 271-1852
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X SD Primary

Addresses

Primary practice location

6100 W 41St St Ste 102
Sioux Falls, SD 57106-5557

Mailing address

1409 S Riverdale Rd
Sioux Falls, SD 57105-1240
Phone (605) 553-3113

Other names 1

  • Mrs. Jaimie Lynn Theisen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260613000357 SD Practitioner - Occupational Therapist in Private Practice 4082186788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 W Lucerne Cir
Suite 502
Orlando, FL 32801-3794

8011 S Cinnamon Ridge PL
Sioux Falls, SD 57108-6466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson-Smith Speech Therapy, LLC CurrentSince Apr 21, 2026 Accepting new patients

Locations

1513 W Holly Blvd
Brandon, SD 57005
Phone (605) 271-1852

6100 W 41st St
Ste 102
Sioux Falls, SD 57106
Phone (605) 271-1852

8011 S Cinnamon Ridge Pl
Sioux Falls, SD 57108
Phone (605) 271-1852

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1932770179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 S RIVERDALE RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051240",
            "telephone_number": "605-553-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 W 41ST ST STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571065557",
            "telephone_number": "605-271-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAIMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIMIE",
            "last_name": "THEISEN",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.