Active NPI
Mary Beth M Lettieri, OT
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1720188808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- KY-R3136
- Practice address
- 2525 Bardstown Rd
Ste 200
Louisville, KY 40205-2665 - Phone
- (502) 452-1863
- Fax
- (502) 452-1863
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | KY-R3136 | KY | Primary |
Addresses
Primary practice location
2525 Bardstown Rd
Ste 200
Louisville, KY 40205-2665
Mailing address
2525 Bardstown Rd
Ste 200
Louisville, KY 40205-2665
Phone (502) 452-1863
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
| License | State | Type | Specialty |
|---|---|---|---|
| KY-R3136 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meaningful Play II, Inc | 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": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720188808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 BARDSTOWN RD",
"address_2": "STE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052665",
"telephone_number": "502-452-1863",
"fax_number": "502-452-1863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 BARDSTOWN RD",
"address_2": "STE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052665",
"telephone_number": "502-452-1863",
"fax_number": "502-452-1863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETTIERI",
"first_name": "MARY BETH",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "KY-R3136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.