Individual provider Active NPI

Leah Rose Dugrenier, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Glens Falls, NY
National Provider Identifier
1023675774
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
023405 Issued in NY
Practice address
100 Glen St Ste 3D
Glens Falls, NY 12801-4422
Phone
(518) 223-0119
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 023405 NY
Physical Rehabilitation Occupational Therapist 225XP0019X 023405 NY Primary

Addresses

Primary practice location

100 Glen St Ste 3D
Glens Falls, NY 12801-4422

Mailing address

25 Bath St Apt 1
Ballston Spa, NY 12020-1734
Phone (518) 478-3177

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leah.dugrenier@protonmail.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)
Enrolled

State licenses

LicenseStateTypeSpecialty
023405NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand to Hand Occupational Therapy PLLC Occupational Therapist CurrentSince Feb 14, 2021 Accepting new patients
Hand to Hand Occupational Therapy PLLC Occupational Therapist PastSince Feb 14, 2021 Accepting new patients

Locations

100 Glen St
Ste 3D
Glens Falls, NY 12801
Phone (518) 223-0119

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1023675774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BATH ST APT 1",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201734",
            "telephone_number": "518-478-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLEN ST STE 3D",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014422",
            "telephone_number": "518-223-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGRENIER",
        "first_name": "LEAH",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023405",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "023405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leah.dugrenier@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "Direct Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12 Northline Dr",
            "city": "Melrose",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121211908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.