ETHAN SMITH OTR
NPI 1942061528
Occupational Therapist in Gilbert, AZ
About Ethan Smith Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN SMITH OTR (NPI 1942061528) is an individual occupational therapist in Gilbert, Arizona and active in the NPI registry since January 2024. He is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ethan Smith Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ethan Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chandler, AZ 85224
- Reassigned Medicare billing, Arizona enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Smith's NPI number?
The NPI number for Ethan Smith is 1942061528. It was assigned to this individual provider in the NPPES registry on January 19, 2024.
Where is Ethan Smith located?
Ethan Smith practices at 2350 S Wade Dr Unit 2090, Gilbert, AZ 85295. The listed phone number is (801) 372-7114.
What is Ethan Smith's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Ethan Smith enrolled in Medicare?
Yes. Ethan Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ethan Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Smith reassigns Medicare benefits to Amy Grulke, PLLC (Chandler, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Smith accept?
Health plans from Blue Cross Blue Shield of Arizona list Ethan Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ethan Smith was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.