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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT 881OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Integris South Oklahoma City Corporation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2008.

{
    "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

All providers in Oklahoma City, OK · Occupational Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.