Active NPI
Leon Rubin, COTA
- Occupational Therapy Assistant
- Boaz, AL
National Provider Identifier
1174937866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6603675
- Practice address
- 700 Elder St
Boaz, AL 35957-1329 - Phone
- (256) 557-5475
- NPI assigned
- Jun 20, 2014
- Last updated
- Jun 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 6603675 | AL | Primary |
Addresses
Primary practice location
700 Elder St
Boaz, AL 35957-1329
Mailing address
700 Elder St
Boaz, AL 35957-1329
Phone (256) 557-5475
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 |
|---|---|---|---|
| 6603675 | AL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1174937866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ELDER ST",
"city": "BOAZ",
"state": "AL",
"postal_code": "359571329",
"telephone_number": "256-557-5475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ELDER ST",
"city": "BOAZ",
"state": "AL",
"postal_code": "359571329",
"telephone_number": "256-557-5475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "LEON",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-20",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AL",
"license": "6603675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.