Active NPI
Leeann Stafford Loggins, OT
- Occupational Therapist
- Stephenville, TX
National Provider Identifier
1154529287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102270
- Practice address
- 1052 E Washington St
Stephenville, TX 76401-4558 - Phone
- (254) 965-3611
- Fax
- (254) 965-3618
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 102270 | TX | Primary |
Addresses
Primary practice location
1052 E Washington St
Stephenville, TX 76401-4558
Mailing address
105 Loggins Trail
Poolville, TX 76487
Phone (817) 694-5558
Other names 1
- Mrs. Leeann Stafford Smith
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 |
|---|---|---|---|
| 102270 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Countryside Therapy Group, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Stephenville, TX
- NPI 1710999289
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1154529287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 LOGGINS TRAIL",
"city": "POOLVILLE",
"state": "TX",
"postal_code": "76487",
"telephone_number": "817-694-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 E WASHINGTON ST",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764014558",
"telephone_number": "254-965-3611",
"fax_number": "254-965-3618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGGINS",
"first_name": "LEEANN",
"middle_name": "STAFFORD",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "102270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEEANN",
"last_name": "SMITH",
"middle_name": "STAFFORD",
"prefix": "MRS.",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.