National Provider Identifier

Katie Nichole Smith, OTR

Katie Nichole Smith, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 697-6000.

NPI 1700559291Rochester, NYOccupational Therapist

Profile Overview

NPI
1700559291
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
July 29, 2021
Last Updated
August 22, 2021

Practice Location

  • 1500 Portland Ave
  • Rochester, NY 14621-3065

Phone: (585) 697-6000

Mailing Address

  • 50 Court Knolle
  • New Hartford, NY 13413-3229

Specialties

  • Occupational Therapist (225X00000X)
  • Occupational Therapist (225X00000X)

Endpoints

  • Unknown

    Connect Url | Rochester, NY 14621

Full Record
NPI
1700559291
Entity Type
Individual
Last Name
Smith
First Name
Katie
Middle Name
Nichole
Name Prefix
Miss
Credential
OTR
Mailing Street Address
50 Court Knolle
Mailing City
New Hartford
Mailing State
NY
Mailing ZIP Code
13413-3229
Mailing Country
US
Mailing Phone
(315) 982-0017
Practice Street Address
1500 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3065
Practice Country
US
Practice Phone
(585) 697-6000
Enumeration Date
July 29, 2021
Last Updated
August 22, 2021
Sex
Female
Sole Proprietor
No
Certification Date
August 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Occupational Therapist (225X00000X)