Organization Active NPI

Harris and Leibert Group

  • Pediatric Occupational Therapist
  • Santa Rosa, CA
National Provider Identifier
1023209822
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT4805 Issued in CA
Legal business name
HARRIS AND LEIBERT GROUP
Practice address
1500 Leonard Ave
Santa Rosa, CA 95405-4521
Phone
(707) 542-5558
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Kristi Harris, OTR/LNPI 1497946297
Title
Partner/Owner
Phone
(707) 542-5558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X OT4805 CA Primary

Addresses

Primary practice location

1500 Leonard Ave
Santa Rosa, CA 95405-4521

Mailing address

1500 Leonard Ave
Santa Rosa, CA 95405-4521
Phone (707) 542-5558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1023209822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LEONARD AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054521",
            "telephone_number": "707-542-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LEONARD AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054521",
            "telephone_number": "707-542-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS AND LEIBERT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "707-542-5558",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT4805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.