COMMONWEALTH OF KENTUCKY (NPI# 1023479250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023479250 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF KENTUCKY |
| Other Organization Name | LEE SPECIALTY CLINIC |
| Practice Address |
4501 Louise Underwood Way Louisville KY 40216-3987 |
| Practice Telephone | 5023682348 |
| Practice Fax Number | 5023719067 |
| Mailing Telephone | 5023682348 |
| Mailing Fax Number | 5023719067 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | TANYIKA WAN (CAO) |
| Authorized Official Telephone | 5023682348 |
| Authorized Official Credential | RHIT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | A2460 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Lee Specialty Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686900 | Commonwealth of Kentucky | Skilled Nursing Facility | 100 Veterans Drive, Radcliff, KY 40160 | 2015-08-14 |
| 1245657857 | Commonwealth of Kentucky | Clinic/Center | 2441 Us Highway 27, Somerset, KY 42501 | 2014-03-20 |
| 1730329897 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood, 2441 S. Hwy 27, Somerset, KY 42501 | 2009-03-03 |
| 1588804546 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood Dr, 2441 S. Hwy 27, Somersetq, KY 42501 | 2009-03-03 |
| 1770762833 | Commonwealth of Kentucky | Residential Treatment Facility, Physical Disabilities | 5659 Main St, Thelma, KY 41260-8609 | 2007-10-25 |
| 1396962551 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 200 Veterans Dr, Hazard, KY 41701-9484 | 2007-04-19 |
| 1124144456 | Commonwealth of Kentucky | Pharmacy | 2400 Russellville Road, Hopkinsville, KY 42240 | 2007-03-21 |
| 1194862599 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 | 2007-02-01 |
| 1083785125 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 4401-4505 Louise Underwood Way, Louisville, KY 40216 | 2006-11-12 |
| 1689652513 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 210 Meadows Dr, Mt Washington, KY 40047-6013 | 2005-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMONWEALTH OF KENTUCKY - DEPARTMENT FOR LOCAL GOVERNMENT | 1024 Capital Center Dr Ste 340, Frankfort, KY 40601-7514 |
| Street Address |
4501 LOUISE UNDERWOOD WAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40216-3987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245228774 | Henry David Hood | Dentist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2005-10-10 |
| 1386270692 | Yesha Banaji | Student in an Organized Health Care Education/Training Program | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2020-03-18 |
| 1619523610 | Gwendolyn Casper | Physical Therapist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2019-08-15 |
| 1275198574 | Cassandra Lynnette Moore | Occupational Therapist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2019-05-02 |
| 1457813487 | Richard Cattron | Dentist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2019-03-31 |
| 1255848529 | Terri Lykins | Dietitian, Registered | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2018-01-08 |
| 1417473885 | Hanzara Panol | Dentist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2017-08-17 |
| 1235652736 | Kari Vanzant | Speech-Language Pathologist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2017-07-18 |
| 1639601503 | Britni Robinson | Dentist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2017-03-30 |
| 1699124594 | Commonwealth of Kentucky | Speech-Language Pathologist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
| 1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
| 1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
| 1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
| Find all providers in zip 40216 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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 examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645803 | Sophia Johnson | Occupational Therapy Assistant | 204 E Jacob St, Louisville, KY 40203-2342 | 2019-12-10 |
| 1497228886 | Sn Kentuckiana Rehab, LLC | Occupational Therapy Assistant | 12000 Aiken Rd, Louisville, KY 40243-2413 | 2019-01-08 |
| 1932670726 | Kaylyn Renee Turner | Occupational Therapy Assistant | 4823 Imperial Ter, Louisville, KY 40216-2363 | 2018-12-06 |
| 1861976110 | Michele Jenenne Warren-wilson | Occupational Therapy Assistant | 6804 Montecito Ln, Louisville, KY 40291-3671 | 2018-09-23 |
| 1992210801 | Jerry Flener | Occupational Therapy Assistant | 368 Glenview Rd, Louisville, KY 40229-3510 | 2017-12-14 |
| 1790206464 | Farrah Hill Rodgers | Occupational Therapy Assistant | 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 | 2017-07-03 |
| 1235668658 | Jessica Cook | Occupational Therapy Assistant | 12420 Hedgeapple Way, Louisville, KY 40272 | 2017-06-08 |
| 1891237426 | Dianne Munson Curtsinger | Occupational Therapy Assistant | 9127 Galene Dr, Louisville, KY 40299-1579 | 2016-11-14 |
| 1174970032 | Taylor Richburg | Occupational Therapy Assistant | 7107 Mallgate Pl Apt A2, Louisville, KY 40207-4147 | 2016-05-20 |
| 1437514221 | Robin E Kublick | Occupational Therapy Assistant | 3404 Breckenridge Ln, Apt 3, Louisville, KY 40220-3145 | 2015-12-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.