Sandrea R Smith
Individual provider Active NPI Occupational Therapy Assistant · Morrison, IL
NPI 1962056358 · NPPES record last updated Jul 24, 2019
Key facts
- NPI
- 1962056358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057.005115 (IL)
- Practice address
- 308 W Main St
Morrison, IL 61270-2439 - Phone
- (847) 848-7559
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057.005115 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.005115 | IL | Yes |
Addresses
Primary practice location
308 W Main St
Morrison, IL 61270-2439
Mailing address
308 W Main St
Morrison, IL 61270-2439
Phone (847) 848-7559
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | srsmith2088@gmail.com |
Other providers in Morrison, IL
- Cassandra Sawyers
- Scott Chiropractic Clinices, P.C.
- Rebecca Sue Scott
- Stacie L Setchell
- Breah Jean Sharp
- Ashlie Nichole Snowden
- Grace Steines
- Sterling Rock Falls Clinic, LTD
- Teresa Ann Stout
- Lyndsey Marie Tegeler
All providers in Morrison, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.