Active NPI
Elizabeth Legg, OT
- Pediatric Occupational Therapist
- Portsmouth, OH
National Provider Identifier
1003230962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT.008559
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT.008559 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.