Individual provider Active NPI

Tricia Lin Lego, COTA/L

  • Occupational Therapy Assistant
  • Greenville, SC
National Provider Identifier
1801225818
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
3185 Issued in SC
Practice address
3400 Anderson Rd Ste C
Greenville, SC 29611-7651
Phone
(864) 295-9890
Fax
(864) 295-9894
NPI assigned
Nov 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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 3185 SC Primary

Addresses

Primary practice location

3400 Anderson Rd Ste C
Greenville, SC 29611-7651

Mailing address

3400 Anderson Rd Ste C
Greenville, SC 29611-7651
Phone (864) 295-9890

Other identifiers 1

IdentifierTypeStateIssuer
GP3515MedicaidSC

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Care Center Inc. Past Accepting new patients
Allegiant Pediatrics LLC Past Accepting new patients

Organizations & group practices 2

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": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1801225818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 ANDERSON RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117651",
            "telephone_number": "864-295-9890",
            "fax_number": "864-295-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 ANDERSON RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117651",
            "telephone_number": "864-295-9890",
            "fax_number": "864-295-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGO",
        "first_name": "TRICIA",
        "middle_name": "LIN",
        "name_prefix": "Miss",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3515",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.