Elleri Wyatt Leblanc, MSOTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT18517 Issued in FL

Practice address

1935 State Road 436 Ste 1005
Winter Park, FL 32792-2244

Phone

(407) 629-9455

Fax

(407) 629-9138

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1003998808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 STATE ROAD 436 STE 1005",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922244",
            "telephone_number": "407-629-9455",
            "fax_number": "407-629-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 STATE ROAD 436 STE 1005",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922244",
            "telephone_number": "407-629-9455",
            "fax_number": "407-629-9138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Turnbull Ave",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327016476",
            "country_code": "US",
            "telephone_number": "407-629-0052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "ELLERI",
        "middle_name": "WYATT",
        "name_prefix": "Ms.",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT10618",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT18517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8881916100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Leacock
• Barbara Alves Leal
• Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
• Victoria Ashley Lebel
• Brittany Leblanc
• Erik Lebron, PTA
• Nancy Jo Leclaire, LCSW
• Candance Ledbetter, REGISTERED NURSE
• Ernestine Miller Lee, MD, MPH
• Ivy Lee, PMHNP

• Pediatric Occupational Therapist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.