Individual provider Active NPI

Eletta Fleming, OTRL

  • Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1508070921
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3772 Issued in OH
Practice address
4440 Carver Woods Dr
Cincinnati, OH 45242-5529
Phone
(513) 791-5688
Fax
(513) 791-0023
NPI assigned
May 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3772 OH Primary

Addresses

Primary practice location

4440 Carver Woods Dr
Cincinnati, OH 45242-5529

Mailing address

4440 Carver Woods Dr
Cincinnati, OH 45242-5529
Phone (513) 791-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014001232 OH Practitioner - Occupational Therapist in Private Practice 9739509696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT3772OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Physical Therapy Inc CurrentSince Oct 12, 2020 Accepting new patients
Columbus Physical Therapy, LLC PastSince Feb 5, 2021 Accepting new patients

Locations

2221 Grube St
Springfield, OH 45503
Phone (937) 399-8941

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508070921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 CARVER WOODS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425529",
            "telephone_number": "513-791-5688",
            "fax_number": "513-791-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 CARVER WOODS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425529",
            "telephone_number": "513-791-5688",
            "fax_number": "513-791-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "ELETTA",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT3772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.