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ELIZABETH SMITH OTR NPI 1174963003


NPI Information

NPI: 1174963003
Provider Name: ELIZABETH SMITH, OTR
Classification: Psychologist - 103TE1100X
Entity Type: Individual

Specialization: Exercise & Sports

Address:
1115 W CHESTNUT ST
BROCKTON, MA
ZIP 02301
Phone: (508) 580-4691
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Elizabeth Smith, OTR is an exercise and sports psychologist in Brockton, MA. The provider is a psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. Elizabeth Smith, OTR NPI is 1174963003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1115 W CHESTNUT ST
BROCKTON, MA
ZIP 02301-501
Phone: (508) 580-4691

The enumeration date for this NPI number is 6/25/2013 and was last updated on 6/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training Program10902MASSACHUSETTSNo
2103TE1100XPsychologistExercise & Sports10902MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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