Active NPI
Abbey Rose Leitten, MS, OTR/L
- Occupational Therapist
- Columbia, SC
National Provider Identifier
1154847473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6611
- Practice address
- 14 Richland Medical Park Dr
Columbia, SC 29203-6877 - Phone
- (803) 434-1260
- NPI assigned
- Aug 17, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 021641-1 | NY | |
| Occupational Therapist | 225X00000X | 6611 | SC | Primary |
Addresses
Primary practice location
14 Richland Medical Park Dr
Columbia, SC 29203-6877
Mailing address
47 Oatka St
Warsaw, NY 14569-1437
Phone (585) 813-6005
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6611 | SC | MD | Professional Counselor |
| 021641-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1154847473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 OATKA ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "145691437",
"telephone_number": "585-813-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RICHLAND MEDICAL PARK DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036877",
"telephone_number": "803-434-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITTEN",
"first_name": "ABBEY",
"middle_name": "ROSE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "021641-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "6611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.