Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Smith, OTR

Individual provider Occupational Therapist · NPI 1942061528

Ethan Smith, OTR is an Occupational Therapist in Private Practice in Gilbert, Arizona. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2023, 3 years ago. Registered with an NPI since 2024.

Years since qualifying
3
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
In the registry since
2024
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2350 S Wade Dr Unit 2090
Gilbert, AZ 85295-0453
Phone: (801) 372-7114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1942061528
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address2350 S Wade Dr Unit 2090, Gilbert, AZ 85295-0453

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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