Organization Active NPI

Creative Mind Occupational Therapy LLC

  • Occupational Therapist
  • Dayton, OH
National Provider Identifier
1710687033
Registry record updated Nov 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CREATIVE MIND OCCUPATIONAL THERAPY LLC
Practice address
136 S Ludlow St
Dayton, OH 45402-1813
Phone
(859) 412-1048
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2023

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

Authorized official

Name
Ms. Lucia H. Lee, MSOT, OTR/LNPI 1407521685
Title
Occupational Therapist/Owner
Phone
(859) 412-1048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

136 S Ludlow St
Dayton, OH 45402-1813

Mailing address

PO Box 340380 Omb 828886
Columbus, OH 43234-0380
Phone (859) 412-1048

National Provider Directory

National Provider Directory

Locations

136 S Ludlow St
Dayton, OH 45402
Phone (937) 219-4130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699747200000",
    "number": "1710687033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340380 OMB 828886",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432340380",
            "telephone_number": "859-412-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S LUDLOW ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021813",
            "telephone_number": "859-412-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MIND OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "859-412-1048",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2023; 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.