Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699421354 Individual Practitioner Female Practitioner

Kimberly Paige Smith , COTA

Occupational Therapy Assistant • Lake Wales, FL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kimberly Smith, COTA is a registered healthcare professional specializing in Occupational Therapy Assistant in Lake Wales, FL. Official NPI practice address is registered at 501 BURNS AVE.

Practice Location & Contact Primary Location

Practice Address

501 Burns Ave

Lake Wales, FL 338533335

Telephone 8636793338
Associated Practice Facility / Clinic
🏢 Victory Ridge Academy, Inc. Facility NPI 1184044612

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Lake Wales, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Lake Wales, FL (3883 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-02
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License FL OTA18802

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Secondary Practice Locations

8390 Champions Gate Blvd Ste 205

Champions Gate, FL 338968415

Phone: 4079004474

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mariam Baez , CCC-SLP

Speech-Language Pathologist

NPI 1003283128

Speech-Language Pathologist (Certificate of Clinical Competence)

Mary Bixler

Physical Therapy Assistant

NPI 1053276477
Itza Nieves Gonzalez

Specialist/Technologist - Speech-Language Assistant

NPI 1083579270
Airel Brown

Specialist/Technologist - Speech-Language Assistant

NPI 1134849680
Kaya Paongo

Specialist/Technologist - Speech-Language Assistant

NPI 1184547721
Elizabeth Koelsch , MA, CCC-SLP

Speech-Language Pathologist

NPI 1194494120

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 02, 2026

Registered at 501 BURNS AVE, LAKE WALES, FL 338533335 (Tel: 8636793338)

📍
Updated Business Mailing Address August 02, 2026

Registered at 8390 CHAMPIONS GATE BLVD STE 205, CHAMPIONS GATE, FL 338968415 (Tel: 8505086819)

NPI Profile Active February 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2022

Registered at 6135 WILLIAMS RD, TALLAHASSEE, FL 323119107 (Tel: 8502949716)

📍
Updated Business Mailing Address February 22, 2022

Registered at 2544 HALLECK LN, TALLAHASSEE, FL 323127566 (Tel: 8505086819)

👤
Provider Name / Credentials Updated February 22, 2022

Recorded as KIMBERLY SMITH, COTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2022

Occupational Therapy Assistant (License #OTA18802 in FL)

🟢
Initial NPI Registration & Enumeration February 22, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699421354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2022
Last Update: August 02, 2026
Sole Proprietor: No

Mailing Address

8390 Champions Gate Blvd Ste 205

Champions Gate, FL 338968415

Phone: 8505086819

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.