Active NPI
Leah Marie Mulder
- Occupational Therapy Assistant
- George, IA
National Provider Identifier
1083528079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 141074
- Practice address
- 324 1St Ave N
George, IA 51237-1029 - Phone
- (712) 475-3391
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 141074 | IA | Primary |
Addresses
Primary practice location
324 1St Ave N
George, IA 51237-1029
Mailing address
1976 5TH Ave SE Apt B
Sioux Center, IA 51250-2973
Other practice location 1
1140 Lincoln St NE
Le Mars, IA 51031-3318
Phone (712) 546-4101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1083528079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1976 5TH AVE SE APT B",
"city": "SIOUX CENTER",
"state": "IA",
"postal_code": "512502973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 1ST AVE N",
"city": "GEORGE",
"state": "IA",
"postal_code": "512371029",
"telephone_number": "712-475-3391"
}
],
"practiceLocations": [
{
"address_1": "1140 Lincoln St NE",
"address_purpose": "LOCATION",
"city": "Le Mars",
"state": "IA",
"postal_code": "510313318",
"country_code": "US",
"telephone_number": "712-546-4101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULDER",
"first_name": "LEAH",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IA",
"license": "141074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in George, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.