Individual provider Active NPI

Leah Marie Bunting, OTR/L

  • Occupational Therapist
  • Maryville, IL
National Provider Identifier
1154027233
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056015303 Issued in IL
Practice address
6960 Il-162
Maryville, IL 62062
Phone
(618) 288-2211
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056015303 IL Primary

Addresses

Primary practice location

6960 Il-162
Maryville, IL 62062

Mailing address

6960 Il-162
Maryville, IL 62062
Phone (618) 288-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230220002717 IL Practitioner - Occupational Therapist in Private Practice 4082086012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.03 of 100Reported as group
Quality
74.47
Improvement activities
40
Cost
66.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Jan 25, 2023 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Jan 25, 2023 Accepting new patients
Apex Physical Therapy, LLC CurrentSince Apr 22, 2024 Accepting new patients
Apex Physical Therapy, LLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

1350 Grand Ave
Beardstown, IL 62618
Phone (217) 350-0361

144 Lincoln Place Ct
Ste 1
Belleville, IL 62221
Phone (618) 233-5163

3030 Frank Scott Pkwy W
Ste 9
Belleville, IL 62223
Phone (618) 235-8565

4996 S State Route 159
Ste B
Glen Carbon, IL 62034
Phone (618) 288-4677

1503 Lindell Blvd
Granite City, IL 62040
Phone (618) 709-4125

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1154027233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 IL-162",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "62062",
            "telephone_number": "618-288-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 IL-162",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "62062",
            "telephone_number": "618-288-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTING",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056015303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.