Individual provider Active NPI

Carlie Lewis, OTR/L

  • Occupational Therapist
  • North Liberty, IA
National Provider Identifier
1710553623
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
745 Community Dr
North Liberty, IA 52317-6708
Phone
(319) 626-2257
NPI assigned
Jun 1, 2021
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

745 Community Dr
North Liberty, IA 52317-6708

Mailing address

1210 Pheasant Valley St
Iowa City, IA 52246-8683
Phone (972) 249-5206

Other names 1

  • Carlea Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carlea@sensorykidsiowa.com

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1710553623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PHEASANT VALLEY ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522468683",
            "telephone_number": "972-249-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 COMMUNITY DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523176708",
            "telephone_number": "319-626-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CARLIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlea@sensorykidsiowa.com",
            "affiliation": "N",
            "address_1": "745 Community Dr",
            "city": "North Liberty",
            "state": "IA",
            "country_code": "US",
            "postal_code": "523176708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLEA",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.