MEDICARE: ASHNI SHANTAL FRANKLIN-SMITH OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT20461	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043856453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHNI SHANTAL FRANKLIN-SMITH OT

Provider Business Mailing Address
First Line	:	2700 NW 108TH AVE
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33322-1861
Country	:	US
Telephone Number	:	954-873-8404
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 W 49TH ST STE 515
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2950
Country	:	US
Telephone Number	:	305-231-3300
Fax Number	:	305-231-1321

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2019
Last Update Date	:	11/20/2019

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