Leslie Eve Gillenson, OTR

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

1535 Issued in TN

Practice address

3045 Kate Bond Rd
Bartlett, TN 38133-4004

Phone

(901) 937-3200

Fax

(901) 725-8346

NPI assigned

Nov 20, 2023

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 names 1

• Leslie Eve Mervis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• MSK Group PC

  • Orthopaedic Surgery Physician
  • Southaven, MS
  • NPI 1912303447
  NPD (past)

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1184499063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334004",
            "telephone_number": "901-937-3200",
            "fax_number": "901-725-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334004",
            "telephone_number": "901-937-3200",
            "fax_number": "901-725-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8059 Stage Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334047",
            "country_code": "US",
            "telephone_number": "901-383-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLENSON",
        "first_name": "LESLIE",
        "middle_name": "EVE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TN",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MERVIS",
            "middle_name": "EVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Gentry, PA-C
• Schrease Shandrochele Gentry, C.N.A.
• David Benjamin Gibson, MD
• Stacy Gibson, FNP
• Elizabeth Litzinger Gillaspie, LCSW
• Demarcio Mikel Gilliam
• Jennifer A Godlove, PSY.D
• Gisele Allen Goff, MD
• Kathleen Goldberg, PT, DPT
• Golden Pointe Care

• Hand Occupational Therapist in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Hand Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.