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

Jennifer Nicole Smith, OTR/L

Individual provider Occupational Therapist · NPI 1104496751

Jennifer Nicole Smith, OTR/L is an Occupational Therapist in Private Practice in Havertown, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Premier Orthopaedic and Sports Medicine Associates, Ltd, a 219-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2010 W Chester Pike Ste 425
Havertown, PA 19083-2740
Phone: (610) 789-9815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 525 Hillside Ct, Hamburg, PA 19526-1302 — (484) 663-4809
  • 640 Freedom Business Ctr Dr Ste 130, King Of Prussia, PA 19406-1332 — (610) 992-0555

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence OC017657 (PA)
Occupational Therapist Taxonomy 225X00000X · Licence OC017657 (PA)

Record details

NPI number1104496751
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJune 27, 2021
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Premier Orthopaedic And Sports Medicine Associates, Ltd — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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