Carleigh Vandetta-Smitherman, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

052012852 Issued in IL

Practice address

1845 Oak St
Northfield, IL 60093-3022

Phone

(847) 386-6560

NPI assigned

Jan 27, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rooted Together, LLC

  • Pediatric Occupational Therapist
  • West Dundee, IL
  • NPI 1467204164

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1982235255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JEAN TER",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600471215",
            "telephone_number": "847-323-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 OAK ST",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933022",
            "telephone_number": "847-386-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDETTA-SMITHERMAN",
        "first_name": "CARLEIGH",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "052012852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "056012852",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Valdez, PTA
• Hannah Valentine, LCSW
• Melisa Valle Szczepinski, OTR/L
• Joyce Vallejo, DAC, L.AC., DIPL. AC
• Marthinus Godfrid Van Heerden
• Glenda Dawn Vernon
• Gayle L. Victor
• Village of Northfield
• Vision Home Health Care, Inc.
• Vision Rehabilitation Associates PC

• Pediatric Occupational Therapist in Northfield, IL
• Providers in Northfield, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.