Leslie Profit, COTA
Individual provider Active NPI Occupational Therapy Assistant · Washington, DC
NPI 1083986640 · NPPES record last updated Jan 29, 2012
Key facts
- NPI
- 1083986640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A01838 (MD)
- Practice address
- 1929 18TH St NW Apt 403
Washington, DC 20009-1743 - Phone
- (202) 758-7157
- NPI assigned
- Jan 29, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01838 | MD | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A01838 | MD | Yes |
Addresses
Primary practice location
1929 18TH St NW Apt 403
Washington, DC 20009-1743
Mailing address
1929 18TH St NW Apt 403
Washington, DC 20009-1743
Phone (202) 758-7157
NPI Registry JSON
{
"created_epoch": "1327795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327795200000",
"number": "1083986640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 18TH ST NW APT 403",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200091743",
"telephone_number": "202-758-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1929 18TH ST NW APT 403",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200091743",
"telephone_number": "202-758-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROFIT",
"first_name": "LESLIE",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-29",
"last_updated": "2012-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MD",
"license": "A01838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.