Lori Ann Smith, OTR/L
Individual provider Active NPI Occupational Therapist · Oklahoma City, OK
NPI 1992967012 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1992967012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT 881 (OK)
- Practice address
- 4100 S Douglas Ave
Oklahoma City, OK 73109-3210 - Phone
- (405) 644-5445
- Fax
- (405) 636-7178
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| OT 881 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris South Oklahoma City Hospital Corporation | Past | Accepting new patients | |
| Integris South Oklahoma City Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 881 | OK | Yes |
Addresses
Primary practice location
4100 S Douglas Ave
Oklahoma City, OK 73109-3210
Mailing address
4100 S Douglas Ave
Oklahoma City, OK 73109-3210
Phone (405) 644-5445
NPI Registry JSON
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1992967012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 S DOUGLAS AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093210",
"telephone_number": "405-644-5445",
"fax_number": "405-636-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 S DOUGLAS AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093210",
"telephone_number": "405-644-5445",
"fax_number": "405-636-7178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "OT 881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Lauren Leigh Smith
- Lauren Marie Smith
- Laurie A Smith
- Lonnie V. Smith
- Lora Smith
- Lucas Garrett Smith
- Lynden Smith
- Lyndsey Dawn Smith
- Lynn Allison Smith
- Mackinzee Lynn Smith
All providers in Oklahoma City, OK · Occupational Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. 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.