CARLTON SMITH JR. OTR/L
NPI 1740029446
Occupational Therapist in South Bend, IN

Active since May 22, 2024
922 HARBOR AVE, SOUTH BEND, IN 46615(574) 315-6093 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carlton Smith Jr. Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLTON SMITH JR. OTR/L (NPI 1740029446) is an individual occupational therapist in South Bend, Indiana, licensed in Indiana (31007737A) and active in the NPI registry since May 2024. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1740029446
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameCARLTON SMITH JR.Credential: OTR/L
Location Address922 HARBOR AVESouth Bend, IN 46615-3426
Mailing Address922 Harbor AveSouth Bend, IN 46615-3426
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 22, 2024
Last NPPES UpdateMay 7, 2025
NPPES CertifiedMay 7, 2025
NPI 1740029446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in IN · 31007737A
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.

922 HARBOR AVE, South Bend, IN 46615

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carlton Smith Jr. Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032638671
PECOS Enrollment IDI20250527002900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740029446, enumerated as an "individual" on May 22, 2024.

The provider is located at 922 HARBOR AVE SOUTH BEND, IN 46615 and the phone number is (574) 315-6093.

Occupational Therapist with taxonomy code 225X00000X.