Organization Active NPI

Skillz 4 Life Therapy

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1265924427
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SKILLZ 4 LIFE THERAPY
Practice address
204 E Jacob St
Louisville, KY 40203-2342
Phone
(502) 855-1271
NPI assigned
Jun 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Marleeta Harris, MS, OTR/LNPI 1457787301
Title
Owner
Phone
(502) 855-1271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

204 E Jacob St
Louisville, KY 40203-2342

Mailing address

204 E Jacob St
Louisville, KY 40203-2342
Phone (502) 822-3975

Other practice location 1

2001 W Broadway Ste 7
Louisville, KY 40203-3599
Phone (502) 855-1271

National Provider Directory

National Provider Directory

Locations

204 E Jacob St
Louisville, KY 40203
Phone (502) 822-3975

2001 W Broadway
Ste 7
Louisville, KY 40203
Phone (502) 855-1271

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1265924427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E JACOB ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032342",
            "telephone_number": "502-822-3975",
            "fax_number": "502-305-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E JACOB ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032342",
            "telephone_number": "502-855-1271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W Broadway Ste 7",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402033599",
            "country_code": "US",
            "telephone_number": "502-855-1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKILLZ 4 LIFE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARLEETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-855-1271",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.