Leah Nicole Price, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3391 Issued in AR

Practice address

2580 E Joyce Blvd Ste 12
Fayetteville, AR 72703-3924

Phone

(479) 521-7337

Fax

(479) 521-7338

NPI assigned

Sep 29, 2020

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Lynn M Center, Inc

  dba Northwest Pediatric Therapy

  • Speech-Language Pathologist
  • Fayetteville, AR
  • NPI 1104909860
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1154938603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 E JOYCE BLVD STE 12",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033924",
            "telephone_number": "479-521-7337",
            "fax_number": "479-521-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 E JOYCE BLVD STE 12",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033924",
            "telephone_number": "479-521-7337",
            "fax_number": "479-521-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "LEAH",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR STATE MEDICAL BOARD/LICENSE",
            "identifier": "OTR3391",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary T Preston, DO
• Tara Lynn Thomasson Prestridge, LPC
• Heather Pribislavski, CRNA
• Victor Pribislavski, CRNA
• Kelton Tyler Price, PT, DPT
• Rebekah Price, MSW, LCSW
• Sarah E Pennington Primm, M.S., CCC-SLP, CALT
• Prism Education Center
• Bobby R Pritchett, DC, CCSP
• David Riley Proffitt

• Occupational Therapist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.