Provider Demographics
NPI:1841372612
Name:SMILEY, JAIME (MS, OTR/L, CAPS)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:SMILEY
Suffix:
Gender:F
Credentials:MS, OTR/L, CAPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8319 HILLCREEK DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-6843
Mailing Address - Country:US
Mailing Address - Phone:804-307-7266
Mailing Address - Fax:804-307-7266
Practice Address - Street 1:8319 HILLCREEK DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-6843
Practice Address - Country:US
Practice Address - Phone:804-307-7266
Practice Address - Fax:804-307-7266
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003393225XE0001X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification