Individual provider Active NPI

Jennifer D Lewter

  • Occupational Therapy Assistant
  • La Grange, KY
National Provider Identifier
1730824020
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
251283 Issued in KY
Practice address
4603 Timberwalk CT
La Grange, KY 40031-6746
Phone
(502) 235-2428
NPI assigned
May 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 251283 KY Primary

Addresses

Primary practice location

4603 Timberwalk CT
La Grange, KY 40031-6746

Mailing address

6309 Gayle Dr
Louisville, KY 40219-2011
Phone (502) 797-7238

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

LicenseStateTypeSpecialty
251283KYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascb Therapy LLC CurrentSince May 8, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1730824020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 GAYLE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192011",
            "telephone_number": "502-797-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 TIMBERWALK CT",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400316746",
            "telephone_number": "502-235-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWTER",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "251283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.