Active NPI
Jeffrey David Leone, OT
- Occupational Therapist
- Berea, KY
National Provider Identifier
1003852138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R1468
- Practice address
- 193 Glades Rd
Berea, KY 40403-1369 - Phone
- (859) 986-1055
- Fax
- (859) 986-1002
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- 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 Therapist | 225X00000X | R1468 | KY | Primary |
Addresses
Primary practice location
193 Glades Rd
Berea, KY 40403-1369
Mailing address
PO Box 911148
Lexington, KY 40591-1148
Phone (859) 278-2121
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 |
|---|---|---|---|
| R1468 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003852138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911148",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405911148",
"telephone_number": "859-278-2121",
"fax_number": "859-276-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 GLADES RD",
"city": "BEREA",
"state": "KY",
"postal_code": "404031369",
"telephone_number": "859-986-1055",
"fax_number": "859-986-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONE",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R1468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.