Individual provider Active NPI

Samantha Lea Lee, M.O.T.

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1356708226
Registry record updated Jan 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
BOTOCT00221966 Issued in KY
Practice address
2735 Seminary CT
Louisville, KY 40206-2896
Phone
(314) 610-4118
NPI assigned
Jan 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X BOTOCT00221966 KY Primary
Occupational Therapist 225X00000X 2015026973 MO

Addresses

Primary practice location

2735 Seminary CT
Louisville, KY 40206-2896

Mailing address

2735 Seminary CT
Louisville, KY 40206-2896
Phone (314) 610-4118

Other names 1

  • Miss Samantha Lea Stone Former name

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

State licenses

LicenseStateTypeSpecialty
BOTOCT00221966KYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453593600000",
    "number": "1356708226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 SEMINARY CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062896",
            "telephone_number": "314-610-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 SEMINARY CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062896",
            "telephone_number": "314-610-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SAMANTHA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "M.O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-24",
        "last_updated": "2016-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "BOTOCT00221966",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2015026973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "STONE",
            "middle_name": "LEA",
            "prefix": "MISS",
            "credential": "M.O.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 24, 2016; 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.