Staci Ledet, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32001486A Issued in IN

Practice address

10224 Noble CT
Indianapolis, IN 46234-7717

Phone

(260) 243-1198

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Staci Albert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• 123OT, LLP

  • Occupational Therapist
  • Indianapolis, IN
  • NPI 1902438856

  Occupational Therapy Assistant

  NPD Authorized official

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1710134903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 NOBLE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462347717",
            "telephone_number": "260-243-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10224 NOBLE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462347717",
            "telephone_number": "260-243-1198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Colorado Blvd",
            "address_2": "318",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802064084",
            "country_code": "US",
            "telephone_number": "866-801-9492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDET",
        "first_name": "STACI",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001486A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "ALBERT",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynne Florence Leckie, BOT OTR
• Beverly Jean Leddy, D.D.S., M.S.D.
• Vicki Lynn Lederle, NP
• Jonathan Todd Ledet, PTA
• Russell Joseph Ledet
• Lindsey Ledford
• Regina Ann Ledford, DNP, FNP-BC
• Nikki Ledgerwood, B.S., C.A.D.A.C. II
• Shelbi Ledgerwood
• Catherine Sophia Ledoux

• Occupational Therapy Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.