Provider Demographics
NPI:1992897664
Name:FORSMITH, DAWN M (MOT,OTR)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:M
Last Name:FORSMITH
Suffix:
Gender:
Credentials:MOT,OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10375 RICHMOND AVE STE 1340
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4298
Mailing Address - Country:US
Mailing Address - Phone:713-787-6600
Mailing Address - Fax:713-787-6601
Practice Address - Street 1:10375 RICHMOND AVE STE 1340
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4298
Practice Address - Country:US
Practice Address - Phone:713-787-6600
Practice Address - Fax:713-787-6601
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107889225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86916Medicaid
TX8T4018OtherBC/BS PROVIDER NUMBER
TXTXCSMMedicaid
UT39026OtherUMR
TX7009684OtherAETNA PROVIDER NUMBER