Individual provider Active NPI

Elizabeth Legg, OT

  • Pediatric Occupational Therapist
  • Portsmouth, OH
National Provider Identifier
1003230962
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT.008559 Issued in OH
Practice address
1112 Gallia St
Portsmouth, OH 45662-4161
Phone
(740) 354-3995
NPI assigned
Feb 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.008559 OH
Pediatric Occupational Therapist 225XP0200X OT.008559 OH Primary

Addresses

Primary practice location

1112 Gallia St
Portsmouth, OH 45662-4161

Mailing address

416 Stewart Hollow Rd
Portsmouth, OH 45662-8972
Phone (740) 961-0201

Other practice location 1

923 Findlay St
Portsmouth, OH 45662-4148
Phone (740) 354-3829 ext. 242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.008559OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Connect Therapy, LLC Pediatrics Current Accepting new patients

Locations

1112 Gallia St
Portsmouth, OH 45662
Phone (740) 351-0880

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.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003230962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 STEWART HOLLOW RD",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456628972",
            "telephone_number": "740-961-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624161",
            "telephone_number": "740-354-3995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 Findlay St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456624148",
            "country_code": "US",
            "telephone_number": "740-354-3829 x242",
            "fax_number": "740-353-2845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGG",
        "first_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT.008559",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT.008559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.