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Deactivated NPI 1265645956 Deactivated / Inactive NPI Female Practitioner

Phyllis Ann Smith , OTR

Occupational Therapist - Pediatrics • Belleville, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phyllis Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2007
NPI Deactivation Date July 21, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Phyllis Smith, OTR was a registered Occupational Therapist - Pediatrics practicing in Belleville, NJ. Throughout an active medical career spanning 15 years, Phyllis Smith provided care at the practice location at 7 SANFORD AVE until profile deactivation on 2022-07-21.

Practice Location & Contact Primary Location

Practice Address

7 Sanford Ave

Belleville, NJ 071091221

Telephone 9737510200
Fax 9737514635
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist - Pediatrics in Belleville, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Belleville, NJ (530 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

Occupational Therapist - Pediatrics Primary Specialty

NUCC Taxonomy Code: 225XP0200X

State License NJ 46TROO150800

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Eileen Enrico , PTA

Physical Therapy Assistant

NPI 1013121466

Physical Therapist Assistant

Lynda Mann Bos , PT

Physical Therapist

NPI 1013124676

Physical Therapist

Maureen Costello , OTR

Occupational Therapist

NPI 1063625739

Occupational Therapist Registered

Joanne Bundonis , PT

Physical Therapist

NPI 1114994647

Physical Therapist

Danielle Vanbeuzekom , PT

Physical Therapist - Pediatrics

NPI 1609977230

Physical Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 21, 2022

Record deactivated on July 21, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7 SANFORD AVE, BELLEVILLE, NJ 071091221 (Tel: 9737510200)

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Updated Business Mailing Address July 08, 2007

Registered at 171 SUMMIT AVE, MONTCLAIR, NJ 070431816 (Tel: 9737461197)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHYLLIS SMITH, OTR

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Occupational Therapist (License #46TROO150800 in NJ)

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Initial NPI Registration & Enumeration May 08, 2007

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: 1265645956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: July 08, 2007
Deactivation Date: July 21, 2022

Mailing Address

171 Summit Ave

Montclair, NJ 070431816

Phone: 9737461197

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.