Lesli Diane Payne, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2286 Issued in OK

Practice address

220 Village Cir
Ponca City, OK 74601-4021

Phone

(580) 762-0121

Fax

(580) 576-7553

NPI assigned

Feb 12, 2021

Last updated

Feb 16, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Children S Therapy Zone LLC

  • Occupational Therapist
  • Ponca City, OK
  • NPI 1679172951

  Occupational Therapy Assistant

  NPD

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1164015996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 VILLAGE CIR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014021",
            "telephone_number": "580-762-0121",
            "fax_number": "580-576-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 VILLAGE CIR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014021",
            "telephone_number": "580-762-0121",
            "fax_number": "580-576-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "LESLI",
        "middle_name": "DIANE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayla Jordan Pappan
• Abby Parker, APRN, CNP-BC
• Kalena Pate, DMD
• Amanda Maria Pattison
• Paul Guy Hagood
• PCH Radiology PC
• Laura Anne Peitz, M.S., LPC
• Baylee Morgan Pemberton- Bonewell
• Mitzi Gail Pemberton, LPN
• Sam Vale Penny, LPTA

• Occupational Therapy Assistant in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.