Michelle Renee Smith, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

04710 Issued in MD

Practice address

350 Montevue LN
Frederick, MD 21702-8214

Phone

(301) 600-1611

Fax

(301) 600-3280

NPI assigned

Aug 15, 2023

Sex

Female

Sole proprietor

No

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1972386910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N MAIN ST",
            "city": "UNION BRIDGE",
            "state": "MD",
            "postal_code": "217919101",
            "telephone_number": "443-465-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MONTEVUE LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028214",
            "telephone_number": "301-600-1611",
            "fax_number": "301-600-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "04710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Taylor Smith, LCPC
• Lisa D Smith
• Lisa Godwin Smith, O.D.
• Lisa K. Smith, LCPC, LPC
• Maurice Antonio Smith, M.D
• Natasha Smith, MD
• Rebecca Elizabeth Smith, FNP-C
• Roger A Smith, D.C.
• Samantha Smith
• Sara Nichole Smith, CSA

• Occupational Therapist in Frederick, MD
• Providers in Frederick, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.