Active NPI
Jen J Li, OTR
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1851693386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 168485
- Practice address
- 4019 Mamaroneck Rd
Louisville, KY 40218-4742 - Phone
- (631) 681-7288
- NPI assigned
- Dec 5, 2010
- 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 | 168485 | KY | Primary |
Addresses
Primary practice location
4019 Mamaroneck Rd
Louisville, KY 40218-4742
Mailing address
11802 Brinley Ave
Louisville, KY 40243-1089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168485 | Other | KY | KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168485 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1851693386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11802 BRINLEY AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4019 MAMARONECK RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402184742",
"telephone_number": "631-681-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "JEN",
"middle_name": "J",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-05",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "168485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY",
"identifier": "168485",
"state": "KY"
}
],
"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 May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.