Individual provider Active NPI

Leslie Leger Vankerkhove, LOTR

  • Hand Occupational Therapist
  • Hendersonville, TN
National Provider Identifier
1053301630
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
4097 Issued in TN
Practice address
353 New Shackle Island Rd Ste 142C
Hendersonville, TN 37075-2487
Phone
(615) 826-4205
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 1469 OK
Occupational Therapist 225X00000X Z12212 LA
Hand Occupational Therapist 225XH1200X 4097 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 142C
Hendersonville, TN 37075-2487

Mailing address

PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3171

Other practice location 1

300 Stonecrest Blvd Ste 220
Smyrna, TN 37167-6800
Phone (615) 730-8626

Other identifiers 3

IdentifierTypeStateIssuer
1115860MedicaidLA
2314145OtherLAAETNA PROVIDER #
721282530VAOtherLAHUMANA PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000353 TN Practitioner - Occupational Therapist in Private Practice 7012003791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

353 New Shackle Island Rd
Suite 142C
Hendersonville, TN 37075-2487
Phone (615) 826-4205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Z12212LAMDOccupational Therapist
4097TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine PLC Occupational Therapist CurrentSince Apr 30, 2025 Accepting new patients

Locations

353 New Shackle Island Rd
Ste 142C
Hendersonville, TN 37075
Phone (615) 826-4205

115 Willard Hagan Dr
Ste 101
Lebanon, TN 37090
Phone (615) 547-6700

100 Physicians Way
Ste 110
Lebanon, TN 37090
Phone (615) 449-1100

2400 Patterson St
Ste 300
Nashville, TN 37203
Phone (615) 342-2600

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

3443 Dickerson Pike
Ste 190
Nashville, TN 37207
Phone (615) 301-8269

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

300 Stonecrest Blvd
Ste 200
Smyrna, TN 37167
Phone (615) 220-4747

300 Stonecrest Blvd
Ste 220
Smyrna, TN 37167
Phone (615) 459-4441

Interoperability endpoints

  • Direct secure messaging: leslie.vankerkhove.1@321.direct.athenahealth.com

Organizations & group practices 1

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1053301630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 142C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752487",
            "telephone_number": "615-826-4205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Stonecrest Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676800",
            "country_code": "US",
            "telephone_number": "615-730-8626",
            "fax_number": "615-534-4768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANKERKHOVE",
        "first_name": "LESLIE",
        "middle_name": "LEGER",
        "name_prefix": "Mrs.",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OK",
            "license": "1469",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z12212",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TN",
            "license": "4097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115860",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "2314145",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER #",
            "identifier": "721282530VA",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.