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COMMONWEALTH OF KENTUCKY NPI 1023479250


NPI Information

NPI: 1023479250
Provider Name: COMMONWEALTH OF KENTUCKY

Doing Business As: LEE SPECIALTY CLINIC

Classification: Occupational Therapy Assistant - 224Z00000X
Entity Type: Organization

CLIA Number: 18D2080959

Address:
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY
ZIP 40216
Phone: (502) 368-2348
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COMMONWEALTH OF KENTUCKY is an occupational therapy assistant in Louisville, KY. The provider is 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. COMMONWEALTH OF KENTUCKY NPI is 1023479250. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lee Specialty Clinic.

The provider's business location address is:

4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY
ZIP 40216-987
Phone: (502) 368-2348
Fax: (502) 371-9067

The provider's authorized official is Tanyika Wan .
The authorized official title is Cao and has the following contact phone number (502) 368-2348.

The CLIA number assigned to this NPI record is 18D2080959 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2016 and was last updated on 3/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224Z00000XOccupational Therapy AssistantA2460KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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