Active NPI
Alexis Lee, OTR/L
- Occupational Therapist
- Copley, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT010417
- Practice address
- 3777 Fairway Park Dr Apt 204
Copley, OH 44321-3119 - Phone
- (585) 490-2390
- NPI assigned
- Jun 28, 2021
- Last updated
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT010417 | OH | Primary |
Addresses
Primary practice location
3777 Fairway Park Dr Apt 204
Copley, OH 44321-3119
Mailing address
3777 Fairway Park Dr Apt 204
Copley, OH 44321-3119
Phone (585) 490-2390
Other names 1
- Alexis Kennedy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
355 W Central Ave
Springboro, OH 45066-1293
Phone (937) 345-0969
4515 22ND St NW
Canton, OH 44708-1573
Phone (330) 406-7504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT010417 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Occupational Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1144890583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3777 FAIRWAY PARK DR APT 204",
"city": "COPLEY",
"state": "OH",
"postal_code": "443213119",
"telephone_number": "585-490-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3777 FAIRWAY PARK DR APT 204",
"city": "COPLEY",
"state": "OH",
"postal_code": "443213119",
"telephone_number": "585-490-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ALEXIS",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT010417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "KENNEDY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Copley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.