Active NPI
Lokeisha Y Tabannah, OTR/L
- Occupational Therapy Assistant
- Roosevelt, NY
National Provider Identifier
1902137243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 006525
- Practice address
- 380 Washington Ave
Roosevelt, NY 11575-1845 - Phone
- (516) 378-2000
- NPI assigned
- Jan 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT26011 | FL | |
| Occupational Therapy Assistant | 224Z00000X | 006525 | NY | Primary |
Addresses
Primary practice location
380 Washington Ave
Roosevelt, NY 11575-1845
Mailing address
9461 Brandywine LN
Port Saint Lucie, FL 34986-3307
Phone (772) 429-3600
Other names 1
- Lokeisha Y Taylor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 NW Peacock Blvd
Suite 104
Port Saint Lucie, FL 34986-2274
Phone (561) 344-8254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT26011 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Faith Therapy Inc. | Current | Accepting new patients |
Locations
240 NW Peacock Blvd
Ste 104
Port Saint Lucie, FL 34986
Phone (561) 344-8254
1809 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (561) 344-8254
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.
-
- Physical Therapist
- Port Saint Lucie, FL
- NPI 1699560391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1902137243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9461 BRANDYWINE LN",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349863307",
"telephone_number": "772-429-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 WASHINGTON AVE",
"city": "ROOSEVELT",
"state": "NY",
"postal_code": "115751845",
"telephone_number": "516-378-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABANNAH",
"first_name": "LOKEISHA",
"middle_name": "Y",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-27",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT26011",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "006525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOKEISHA",
"last_name": "TAYLOR",
"middle_name": "Y",
"credential": "COTA/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Roosevelt, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.