Active NPI
Leah Ann Shapiro
- Developmental Therapist
- Macomb, IL
National Provider Identifier
1023324464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 1 University Cir
Center for Best Practices, Western Illinois University
Macomb, IL 61455-1367 - Phone
- (800) 701-0095
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
1 University Cir
Center for Best Practices, Western Illinois University
Macomb, IL 61455-1367
Mailing address
7753 Van Buren St
Unit 407
Forest Park, IL 60130-1887
Phone (708) 689-0616
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1023324464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7753 VAN BUREN ST",
"address_2": "UNIT 407",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601301887",
"telephone_number": "708-689-0616",
"fax_number": "708-689-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY CIR",
"address_2": "CENTER FOR BEST PRACTICES, WESTERN ILLINOIS UNIVERSITY",
"city": "MACOMB",
"state": "IL",
"postal_code": "614551367",
"telephone_number": "800-701-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "LEAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.