Active NPI
Dolly Barrett Smith, MPS, LOTR, CHT
- Hand Occupational Therapist
- Mandeville, LA
National Provider Identifier
1972591006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- Z10150
- Practice address
- 217 Spruce St
Mandeville, LA 70471-2542 - Phone
- (985) 630-6711
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | Z10150 | LA | Primary |
Addresses
Primary practice location
217 Spruce St
Mandeville, LA 70471-2542
Mailing address
217 Spruce St
Mandeville, LA 70471-2542
Phone (985) 630-6711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5X738CQ94 | Other | LA | MEDICARE PTAN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07043 | MD | MD | Clinical Psychologist |
| Z10150 | LA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthe, L.L.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Occupational Therapist
- Lafayette, LA
- NPI 1548424807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1972591006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 SPRUCE ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704712542",
"telephone_number": "985-630-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 SPRUCE ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704712542",
"telephone_number": "985-630-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DOLLY",
"middle_name": "BARRETT",
"name_prefix": "Mrs.",
"credential": "MPS, LOTR, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "LA",
"license": "Z10150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN NUMBER",
"identifier": "5X738CQ94",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.