Jill Elise Smith, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

015087-1 Issued in NY

Practice address

30 Greystone Rd
Rockville Centre, NY 11570-4513

Phone

(516) 238-7818

NPI assigned

May 20, 2010

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jill E Smith OT PLLC

  • Occupational Therapist
  • Baldwin, NY
  • NPI 1184152936
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1972822633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GREYSTONE RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704513",
            "telephone_number": "516-238-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GREYSTONE RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704513",
            "telephone_number": "516-238-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILL",
        "middle_name": "ELISE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015087-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Slavin
• David Evan Slone, PMHNP-BC
• Stacey Slovin, RPA
• Emma Smitelli, MHC-LP
• Frank Joseph Smith Jr., PA
• Lisa Yvette Smith
• Nicholas Smith, LMHC
• Stefani Susan Smith
• Jeffrey S Smoller, MD
• Jessica Ilana Smuckler, MS, OTR/L

• Occupational Therapist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.