MR. RICHARD K. SMITH CTRSWOSH NPI 1598840084

NPI Information

NPI: 1598840084
Provider Name: MR. RICHARD K. SMITH, CTRS,WOSH
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
1139 HUNTINGTON DR
SOUTH PASADENA, CA
ZIP 91030
Phone: (310) 478-3711
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MR. Richard K. Smith, CTRS,WOSH is a recreation therapist in South Pasadena, CA. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MR. Richard K. Smith, CTRS,WOSH NPI is 1598840084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1139 HUNTINGTON DR
SOUTH PASADENA, CA
ZIP 91030-516
Phone: (310) 478-3711
Fax: (310) 268-3279

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225800000X	Recreation Therapist		32086	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32086	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	CERTIFICATION CTRS

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

NPI Synchronization or Removal

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