Jaleesa Thelma Lucas, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

023724 Issued in NY

Practice address

31 Kinnebrook
Harris, NY 12742-2204

Phone

(845) 707-6012

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1053963264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 GREENVILLE TPKE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "914-844-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 KINNEBROOK",
            "city": "HARRIS",
            "state": "NY",
            "postal_code": "127422204",
            "telephone_number": "845-707-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JALEESA",
        "middle_name": "THELMA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-01-03",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew John Knauer, DO
• Gary Koutcher, M.D.
• Taylor Kraiza
• Cheryl Lyn Lafiandra, R.N
• Patricia Catherine Longinott, PT, DPT, C/NDT
• Quinn Edith Hofer Lupardo
• Christina Magill Brigham, M.S., CCC-SLP
• Courtney Mallon, M.S., CCC-SLP
• Thomas Mankiewicz, MD
• Emma Ann McInerney

• Occupational Therapist in Harris, NY
• Providers in Harris, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.