Alissa M Lee

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-3245 Issued in NV

Practice address

2012 S Jones Blvd
Las Vegas, NV 89146-3151

Phone

(702) 360-1137

NPI assigned

Jul 20, 2020

Reactivated

Jul 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Speakeasy Therapy Services, LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1114315801

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1689282303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463151",
            "telephone_number": "702-360-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463151",
            "telephone_number": "702-360-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALISSA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "deactivation_date": "2023-06-14",
        "reactivation_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-3245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giyae Lee-Thornton, PHARM.D.
• Alex Lee, DPT
• Alice Lee, OTD, OTR/L
• Alice Eujin Lee, MD
• Alina Lee, RN
• Allen Lee, D.M.D.
• Amber Dniece Lee, N.P.
• Andrew Lee
• Andrew Lee
• Andrew C Lee, DDS

• Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.