Individual provider Active NPI

Alexandra Madison Leo, COTA/L

  • Occupational Therapy Assistant
  • Knoxville, TN
National Provider Identifier
1184359341
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
3691 Issued in TN
Practice address
310 Corporate Dr Ste 101
Knoxville, TN 37923-4638
Phone
(865) 693-5622
Fax
(865) 769-0801
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3691 TN Primary

Addresses

Primary practice location

310 Corporate Dr Ste 101
Knoxville, TN 37923-4638

Mailing address

310 Corporate Dr Ste 101
Knoxville, TN 37923-4638
Phone (865) 250-9609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3691TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah L Curlee Communication Consultants Inc CurrentSince Jul 24, 2022 Accepting new patients

Locations

310 Corporate Dr
Ste 101
Knoxville, TN 37923
Phone (865) 693-5622

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184359341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CORPORATE DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234638",
            "telephone_number": "865-250-9609",
            "fax_number": "865-769-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CORPORATE DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234638",
            "telephone_number": "865-693-5622",
            "fax_number": "865-769-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "ALEXANDRA",
        "middle_name": "MADISON",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.