Colleen Marie Leonard, OTLRMSHS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00043700 Issued in NJ

Practice address

1720 Azure Dr
Wall Township, NJ 07753-7129

Phone

(732) 687-5687

NPI assigned

Jun 16, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1104086917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 AZURE DR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077537129",
            "telephone_number": "732-687-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 AZURE DR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077537129",
            "telephone_number": "732-687-5687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "671 Hawks Nest Rd",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087244721",
            "country_code": "US",
            "telephone_number": "732-892-0828",
            "fax_number": "732-892-0829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTLRMSHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00043700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lawrence G Van Horn MD PA
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• Lucky Baby Lactation Services

• Occupational Therapist in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.