NPI Code Detail JSON Logo

1982430401 NPI number — ISABELLA SMITH OTR/L

NPI Number: 1982430401
Health Care Provider/Practitioner: ISABELLA SMITH OTR/L

Information about “1982430401” NPI (ISABELLA SMITH OTR/L) exists in 1982430401 in HTML format HTML  |  1982430401 in plain Text format TXT  |  1982430401 in PDF (Portable Document Format) PDF  |  1982430401 in an XML format XML  formats.

NPI Number : 1982430401 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982430401",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "ISABELLA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1516 HINMAN AVE APT 207",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EVANSTON",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60201-4665",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9650 GROSS POINT RD STE 2931",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SKOKIE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60076-5080",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "224-251-2494",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/11/2024",
    "LastUpdateDate": "09/11/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "056.15442",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XH1200X",
          "TaxonomyName": "Hand Occupational Therapist",
          "LicenseNumber": "056.15442",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.