Individual provider Active NPI

Lucia H. Lee, MS, OTR/L

  • Occupational Therapist
  • Dayton, OH
National Provider Identifier
1407521685
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT011690 Issued in OH
Practice address
136 S Ludlow St
Dayton, OH 45402-1813
Phone
(937) 542-3000
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 270418 KY
Occupational Therapist 225X00000X OT011690 OH Primary

Addresses

Primary practice location

136 S Ludlow St
Dayton, OH 45402-1813

Mailing address

PO Box 340380 PMB 828886
Columbus, OH 43234-0380
Phone (859) 412-1048

Other identifiers 1

IdentifierTypeStateIssuer
0461090MedicaidOH

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
270418KYMDOccupational Therapist
OT011690OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Mind Occupational Therapy LLC Occupational Therapist CurrentSince Nov 19, 2023 Accepting new patients
A Step Ahead Pediatric Therapy PLLC PastSince Aug 1, 2021 Accepting new patients
Hamilton County Educational Service Center PastSince Sep 1, 2021 Accepting new patients

Locations

136 S Ludlow St
Dayton, OH 45402
Phone (937) 219-4130

Organizations & group practices 3

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1407521685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340380 PMB 828886",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432340380",
            "telephone_number": "859-412-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S LUDLOW ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021813",
            "telephone_number": "937-542-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LUCIA",
        "middle_name": "H.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "270418",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461090",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.