Leroy Talbert Altman IV, L/COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

405449 Issued in TN

Practice address

615 Derby St
Chattanooga, TN 37404-1632

Phone

(423) 629-1451

NPI assigned

Nov 19, 2009

Last updated

Nov 19, 2009By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1164750881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 DERBY ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041632",
            "telephone_number": "423-629-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 DERBY ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041632",
            "telephone_number": "423-629-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "LEROY",
        "middle_name": "TALBERT",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "L/COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "405449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Bowling Alpert
• Ghaith Alsabbagh, MBBS
• Cayleigh Elizabeth Alston, CPM
• Austin Alte, ATC
• Alternatives Counseling Associates
• David Manuel Alvarez-Barrios, MD
• Diana M. Alvarez, M.D.
• Elaidys E Alvarez, CRNA
• Pablo Antonio Alvarez, MSPT
• Richard G Alvarez, M.D.

• Occupational Therapy Assistant in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.