LEE SPECIALTY CLINIC
NPI 1023479250
Occupational Therapy Assistant in Louisville, KY

Active since March 16, 2016CLIA 18D2080959 · Waiver
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216(502) 368-2348(502) 371-9067 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lee Specialty Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE SPECIALTY CLINIC (NPI 1023479250) is a healthcare organization registered as an occupational therapy assistant in Louisville, Kentucky and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Tanyika Wan, Cao, as its authorized official.

NPPES Registry Identity

NPI1023479250
Entity TypeOrganization
Primary Taxonomy224Z00000X
Legal Business NameCOMMONWEALTH OF KENTUCKY
Location Address4501 LOUISE UNDERWOOD WAYLouisville, KY 40216-3987
Mailing Address4501 Louise Underwood WayLouisville, KY 40216-3987 · (502) 368-2348 · Fax (502) 371-9067
Fax(502) 371-9067
Organization SubpartNo
Authorized OfficialTanyika WanCao · (502) 368-2348
Enumeration DateMarch 16, 2016
NPI 1023479250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in KY · A2460
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
4501 LOUISE UNDERWOOD WAY, Louisville, KY 40216

Other Names 1

Doing Business AsLee Specialty Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2080959

Lee Specialty Clinic · Louisville, KY
Active · expires Jul 16, 2028
CLIA Number18D2080959
Laboratory TypePublic Health Laboratories
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorHenry D. Hood
Laboratory Phone(502) 368-2348
Laboratory LocationLee Specialty Clinic4501 Louise Underwood Way, Louisville, KY 40216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Dentist
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Dentist (General Practice)
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Physical Therapist
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Occupational Therapist
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Nurse Practitioner (Psychiatric/Mental Health)
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Dentist (General Practice)
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216
Dietitian, Registered
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Of Kentucky's NPI number?

The NPI number for Commonwealth Of Kentucky is 1023479250. It was assigned to this organization in the NPPES registry on March 16, 2016. The provider is doing business as Lee Specialty Clinic.

Where is Commonwealth Of Kentucky located?

Commonwealth Of Kentucky is located at 4501 Louise Underwood Way, Louisville, KY 40216. The listed phone number is (502) 368-2348.

What is Commonwealth Of Kentucky's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

Does Commonwealth Of Kentucky hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2080959) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Commonwealth Of Kentucky was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.