Active NPI
Jamesha Leejay, COTA
- Occupational Therapy Assistant
- Carrollton, TX
National Provider Identifier
1528799640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 216768
- Practice address
- 1000 W Crosby Rd Ste 136
Carrollton, TX 75006-6904 - Phone
- (972) 237-0100
- NPI assigned
- Jun 20, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 216768 | TX | Primary |
Addresses
Primary practice location
1000 W Crosby Rd Ste 136
Carrollton, TX 75006-6904
Mailing address
5500 State Highway 121 Apt 2031
Lewisville, TX 75056-4319
Phone (318) 458-2320
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 |
|---|---|---|---|
| 216768 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CKC Holdings LLC | Current | Accepting new patients | |
| CKC Holdings LLC | Current | Accepting new patients |
Locations
1000 W Crosby Rd
Ste 136
Carrollton, TX 75006
Phone (972) 237-0100
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1528799640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 STATE HIGHWAY 121 APT 2031",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750564319",
"telephone_number": "318-458-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CROSBY RD STE 136",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066904",
"telephone_number": "972-237-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEJAY",
"first_name": "JAMESHA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "216768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.