Active NPI
Lena Ladell Haile, COTA
- Occupational Therapy Assistant
- Corsicana, TX
National Provider Identifier
1487134094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 209937
- Practice address
- 500 W 3Rd Ave Ste 6
Corsicana, TX 75110-4564 - Phone
- (903) 851-8456
- NPI assigned
- Aug 14, 2018
- Last updated
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 209937 | TX | Primary |
Addresses
Primary practice location
500 W 3Rd Ave Ste 6
Corsicana, TX 75110-4564
Mailing address
11122 E State Hwy 31
Kerens, TX 75144
Phone (903) 851-8456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209937 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1487134094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11122 E STATE HWY 31",
"city": "KERENS",
"state": "TX",
"postal_code": "75144",
"telephone_number": "903-851-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 3RD AVE STE 6",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751104564",
"telephone_number": "903-851-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILE",
"first_name": "LENA",
"middle_name": "LADELL",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "209937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.