ETHAN SMITH OTR
NPI 1942061528
Occupational Therapist in Gilbert, AZ

Active since January 19, 2024
2350 S WADE DR UNIT 2090, GILBERT, AZ 85295(801) 372-7114 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1942061528
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameETHAN SMITHCredential: OTR
Location Address2350 S WADE DR UNIT 2090Gilbert, AZ 85295-0453
Mailing Address2350 S Wade Dr Unit 2090Gilbert, AZ 85295-0453 · (801) 372-7114
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2023
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1942061528 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
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.
2350 S WADE DR UNIT 2090, Gilbert, AZ 85295

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).

PECOS PAC ID3577052760
PECOS Enrollment IDI20251028004199

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.

Speech-Language Pathologist
2248 N ALMA SCHOOL RD STE 102
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.