Individual provider · Type 1 NPI

Caitlyn Justine Smith, COTA

Occupational Therapy Assistant · Moberly, MO

NPI number 1013884998 Active

Practice location

930 Shephard Brothers Blvd
Moberly, MO 65270-3813

Mailing address

1009 Halleck St
Moberly, MO 65270-2048

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2025045023 (MO)

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 1013884998

Caitlyn Justine Smith, COTA's National Provider Identifier is 1013884998, issued on Oct 23, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Moberly, MO. The record was last updated on Oct 23, 2025.