OrganizationActive
Commonwealth of Kentucky
NPI 1023479250 · Occupational Therapy Assistant · Louisville, KY
Provider details
- NPI number
- 1023479250
- Entity type
- Organization
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tanyika Wan, Cao(502) 368-2348
- License
- A2460 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4501 Louise Underwood Way
Louisville, KY 40216-3987
Phone: (502) 368-2348
Fax: (502) 371-9067
Approximate (ZIP-level) locationGet directions
Mailing address
4501 Louise Underwood Way
Louisville, KY 40216-3987
Other names (DBA / former)
- Doing business as
- Lee Specialty Clinic
Registry dates
- Enumerated
- 2016-03-16
- Last updated
- 2016-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.