Organization Active NPI

Lauryl Leksrisawat LLC

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1558722462
Registry record updated Mar 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R2741 Issued in KY
Legal business name
LAURYL LEKSRISAWAT LLC
Practice address
1924 Duker Ave
Louisville, KY 40205-1002
Phone
(502) 296-9897
Fax
(502) 290-6017
NPI assigned
Mar 19, 2016
Last updated
Mar 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2016

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

Authorized official

Name
Mrs. Lauryl Raye McCoy-Leksrisawawt, OTR/L
Title
President
Phone
(502) 296-9897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R2741 KY Primary

Addresses

Primary practice location

1924 Duker Ave
Louisville, KY 40205-1002

Mailing address

1924 Duker Ave
Louisville, KY 40205-1002
Phone (502) 296-9897

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458345600000",
    "number": "1558722462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 DUKER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051002",
            "telephone_number": "502-296-9897",
            "fax_number": "502-290-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 DUKER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051002",
            "telephone_number": "502-296-9897",
            "fax_number": "502-290-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURYL LEKSRISAWAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-03-19",
        "status": "A",
        "authorized_official_last_name": "MCCOY-LEKSRISAWAWT",
        "authorized_official_first_name": "LAURYL",
        "authorized_official_middle_name": "RAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-296-9897",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2741",
            "primary": true
        }
    ],
    "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 Mar 19, 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.

Verify at the official NPI Registry.