Individual provider Active NPI

Deandrea Vontrese Lee, OT

  • Occupational Therapist
  • Tallahassee, FL
National Provider Identifier
1669435061
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9334 Issued in FL
Practice address
1845 Acorn Ridge TRL
Tallahassee, FL 32312-5143
Phone
(850) 545-0114
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT004295 GA
Occupational Therapist 225X00000X OT9334 FL Primary

Addresses

Primary practice location

1845 Acorn Ridge TRL
Tallahassee, FL 32312-5143

Mailing address

1845 Acorn Ridge TRL
Tallahassee, FL 32312-5143
Phone (850) 545-0114

Other names 1

  • Ms. Deandrea Vontrese Smith Former name

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

LicenseStateTypeSpecialty
OT9334FLMDOccupational Therapist
OT004295GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
More Ability Therapy Services, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1669435061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 ACORN RIDGE TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323125143",
            "telephone_number": "850-545-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 ACORN RIDGE TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323125143",
            "telephone_number": "850-545-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DEANDREA",
        "middle_name": "VONTRESE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004295",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANDREA",
            "last_name": "SMITH",
            "middle_name": "VONTRESE",
            "prefix": "MS.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.