Individual provider · Type 1 NPI

Avery Smith, COTA/L

Occupational Therapy Assistant · Fayetteville, NC

NPI number 1003739053 Active

Practice location

2465 Gillespie St
Fayetteville, NC 28306-3053

Mailing address

129 Garner Rd Apt 3A
Spartanburg, SC 29303-3290

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X17754 (NC)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1003739053

Avery Smith, COTA/L's National Provider Identifier is 1003739053, issued on Aug 4, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 4, 2026.