Leap Forward OT LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

LEAP FORWARD OT LLC

Practice address

852 Cedar Grove Dr
Tipp City, OH 45371-7587

Phone

(937) 572-0873

NPI assigned

Nov 8, 2024

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Witwer, MOTNPI 1508490152

Title

Owner

Phone

(937) 572-0873

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Ann Witwer

  • Occupational Therapist
  • Tipp City, OH
  • NPI 1508490152
  NPD Authorized official

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1154145928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 CEDAR GROVE DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453717587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 CEDAR GROVE DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453717587",
            "telephone_number": "937-572-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP FORWARD OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "WITWER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-572-0873",
        "authorized_official_credential": "MOT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Kruse, FNP-BC
• Anupama S Kulkarni, MD
• Angela Kuzniczci
• Kennedy Rose Lair
• Keeyawn Lasley
• Morgan Leatherman, AUD
• James Leonard, RPH
• Pamela J. Locke, O.D.
• Paula Long, LISW-S
• Kathryn E Lorenz, MD

• Pediatric Occupational Therapist in Tipp City, OH
• Providers in Tipp City, OH by specialty
• Pediatric Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.