Leslie Ann Fairbairn, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14092 Issued in FL

Practice address

121 Doughty Lane
Post Office Box 88
Satsuma, FL 32189-0088

Phone

(386) 467-3504

NPI assigned

Mar 26, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2010.

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1093039596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "address_2": "121 DOUGHTY LANE",
            "city": "SATSUMA",
            "state": "FL",
            "postal_code": "321890088",
            "telephone_number": "386-467-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DOUGHTY LANE",
            "address_2": "POST OFFICE BOX 88",
            "city": "SATSUMA",
            "state": "FL",
            "postal_code": "321890088",
            "telephone_number": "386-467-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBAIRN",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassion Mobile Phlebotomy LLC
• Tracy Cribbs, P.T.
• Carol Speer Foil, DVM
• Tiffany Gantt
• Infinity Med Transport LLC
• Linda Lewis
• Lilly'S Care Helping Hand

• All providers in Satsuma, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.