Active NPI
Gabrielle Leister
- Occupational Therapy Assistant
- Salisbury, NC
National Provider Identifier
1003358029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 10223
- Practice address
- 710 Julian Rd
Salisbury, NC 28147-9079 - Phone
- (704) 636-5812
- NPI assigned
- Nov 8, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 10223 | NC | Primary |
Addresses
Primary practice location
710 Julian Rd
Salisbury, NC 28147-9079
Mailing address
11411 Winners Cir
Charlotte, NC 28215-6088
Phone (717) 513-6959
Other practice location 1
550 Glenwood Dr
Mooresville, NC 28115-2876
Phone (704) 664-7494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10223 | Other | NC | NC OTA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gleister@adaptiverehab.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10223 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585958400000",
"number": "1003358029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11411 WINNERS CIR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282156088",
"telephone_number": "717-513-6959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 JULIAN RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281479079",
"telephone_number": "704-636-5812"
}
],
"practiceLocations": [
{
"address_1": "550 Glenwood Dr",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281152876",
"country_code": "US",
"telephone_number": "704-664-7494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEISTER",
"first_name": "GABRIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2020-04-04",
"certification_date": "2020-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "10223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC OTA LICENSE",
"identifier": "10223",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gleister@adaptiverehab.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "work email",
"address_1": "710 Julian Rd",
"city": "Salisbury",
"state": "NC",
"country_code": "US",
"postal_code": "281479079",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.