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

Kylie Lynn Smith

Individual provider Occupational Therapist · NPI 1811883507

Kylie Lynn Smith is an Occupational Therapist in Private Practice in Lake Geneva, Wisconsin. Qualified in 2025, 1 year ago. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
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Practice location Address checks out

N2950 State Rd 67
Lake Geneva, WI 53147
Phone: (262) 245-0535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 8974-26 (WI)

Record details

NPI number1811883507
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2025
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address29624 Network Pl, Chicago, IL 60673-1296

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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