Active NPI
Leah C Guanlao, OTR-L
- Occupational Therapist
- Brookhaven, GA
National Provider Identifier
1114130689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT005126
- Practice address
- 509 Oglethorpe Dr NE
Brookhaven, GA 30319-2774 - Phone
- (703) 864-2004
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | OT005126 | GA | Primary |
Addresses
Primary practice location
509 Oglethorpe Dr NE
Brookhaven, GA 30319-2774
Mailing address
509 Oglethorpe Dr NE
Brookhaven, GA 30319-2774
Phone (703) 864-2004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT005126 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1114130689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 OGLETHORPE DR NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303192774",
"telephone_number": "703-864-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OGLETHORPE DR NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303192774",
"telephone_number": "703-864-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUANLAO",
"first_name": "LEAH",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "OTR-L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT005126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.