Physician Compare National (NPI:1245225739)

HEALTHCARE PROVIDER: CHRISTOPHER SMITH OTR/L

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1245225739
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395639603
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040301000569
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SMITH
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	OT
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	OCCUPATIONAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	11274 S FORTUNA RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1 3
	Group Practice or individual's line 2 address
City	YUMA
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	853677847
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y