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

Jerry Smith

Individual provider Occupational Therapy Assistant · NPI 1578099131

Jerry Smith is an Occupational Therapy Assistant in Appleton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2017

Practice location Address checks out

2125 N Sherri Lin Ct Apt G
Appleton, WI 54914-1873
Phone: (920) 915-6832
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5356-27 (WI)

Record details

NPI number1578099131
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 2, 2017
Last updated in NPPESMay 2, 2017
Mailing address2125 N Sherri Lin Ct Apt G, Appleton, WI 54914-1873

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