Leslie M Sizemore, EDS OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R0334 Issued in KY

Practice address

376 Manchester Square
Manchester, KY 40962-9998

Phone

(606) 598-7673

Fax

(606) 598-7948

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Theracare Inc

  • Occupational Therapist
  • Manchester, KY
  • NPI 1538253463
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063580090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 COLONY ROAD",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409629998",
            "telephone_number": "606-598-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 MANCHESTER SQUARE",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409629998",
            "telephone_number": "606-598-7673",
            "fax_number": "606-598-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "LESLIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "EDS OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R0334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785001",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Phillip Scott, LCSW
• Jennifer L Scott, CSW
• Crystal J Seals, OTRL
• Betty Sizemore, APRN
• Karla Irene Sizemore
• Tammy Lynn Sizemore, OTR
• Tracy Sizemore, APRN
• Loretta Smallwood, L.M.T
• Amber Smith, PHARM D
• Gerry Smith

• Occupational Therapist in Manchester, KY
• Providers in Manchester, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.