Active NPI
Skillz 4 Life, Inc
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1487103271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SKILLZ 4 LIFE, INC
- Practice address
- 3814 Greenwich Rd
Louisville, KY 40218-1616 - Phone
- (502) 855-1271
- NPI assigned
- Sep 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marleeta Harris, OTR/L
- Title
- President and Ceo
- Phone
- (502) 855-1271
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Physical Therapist | 225100000X | |||
| Music Therapist | 225A00000X | |||
| Occupational Therapist | 225X00000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
3814 Greenwich Rd
Louisville, KY 40218-1616
Mailing address
3814 Greenwich Rd
Louisville, KY 40218-1616
Phone (502) 855-1271
National Provider Directory
National Provider Directory- Tax ID family
- Skillz 4 Life Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Occupational Therapist
- Louisville, KY
- NPI 1881044675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474502400000",
"number": "1487103271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3814 GREENWICH RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181616",
"telephone_number": "502-855-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3814 GREENWICH RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181616",
"telephone_number": "502-855-1271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKILLZ 4 LIFE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "MARLEETA",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "502-855-1271",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 22, 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.