NPIMap

Organization Active NPI

Skillz 4 Life, Inc.

  • Pediatric Occupational Therapist
  • Louisville, KY
National Provider Identifier
1881044675
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
R5089 Issued in KY
Legal business name
SKILLZ 4 LIFE, INC.
Practice address
3814 Greenwich Rd
Louisville, KY 40218-1616
Phone
(502) 855-1271
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Ms. Marleeta Harris, OTR/L
Title
President/ Occupational Therapist
Phone
(502) 855-1271

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041S0200X
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X R5089 KY Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

3814 Greenwich Rd
Louisville, KY 40218-1616

Mailing address

3814 Greenwich Rd
Louisville, KY 40218-1616
Phone (502) 855-1271

National Provider Directory

National Provider Directory
Tax ID family
Skillz 4 Life Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1881044675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 GREENWICH RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181616",
            "telephone_number": "502-855-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 GREENWICH RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181616",
            "telephone_number": "502-855-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLZ 4 LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARLEETA",
        "authorized_official_title_or_position": "PRESIDENT/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "502-855-1271",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "R5089",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 13, 2016; 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.