Amy Rebecca Smith, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC004407L Issued in PA

Practice address

3298 Ridge Rd
Bloomsburg, PA 17815

Phone

(570) 784-6688

NPI assigned

Feb 26, 2024

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1932965001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 RIDGE RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157932",
            "telephone_number": "570-784-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 RIDGE RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "17815",
            "telephone_number": "570-784-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "REBECCA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004407L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Simpson, DO
• Kristen Raaj Singh, AGPCNP-BC
• Barbara Sitko, PHARMD
• Mary Jo Skjoldal, R.O.M.
• Allisa Jeanne Smith
• Debbie Kay Smith, L.OM.
• Harold Alvin Smith, MD
• Janee Nichol Smith, BSN RN
• Jedediah George Smith, PA-C
• Jenifer Elizabeth Smith, CNM

• Occupational Therapist in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.