Provider Demographics
NPI:1609218635
Name:ADAPTIVE SUCCESS, LLC
Entity Type:Organization
Organization Name:ADAPTIVE SUCCESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NESMITH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, ATP
Authorized Official - Phone:202-270-7928
Mailing Address - Street 1:810 1ST ST NE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4227
Mailing Address - Country:US
Mailing Address - Phone:202-270-7928
Mailing Address - Fax:
Practice Address - Street 1:810 1ST ST NE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4227
Practice Address - Country:US
Practice Address - Phone:202-270-7928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology PractitionerGroup - Single Specialty