Individual provider Active NPI

Isabelle Teasdall, OTR/L

  • Occupational Therapist
  • Lexington, KY
National Provider Identifier
1205451986
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
263138 Issued in KY
Practice address
3310 Tates Creek Rd Apt 105
Lexington, KY 40502-3466
Phone
(859) 268-6891
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 263138 KY Primary

Addresses

Primary practice location

3310 Tates Creek Rd Apt 105
Lexington, KY 40502-3466

Mailing address

171 Bassett Ave Apt 2
Lexington, KY 40502-1537
Phone (336) 414-1110

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1205451986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 BASSETT AVE APT 2",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021537",
            "telephone_number": "336-414-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 TATES CREEK RD APT 105",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023466",
            "telephone_number": "859-268-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEASDALL",
        "first_name": "ISABELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "263138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.