Individual provider Active NPI

Leah Embry, OT

  • Occupational Therapist
  • Bowling Green, KY
National Provider Identifier
1184573503
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
279544 Issued in KY
Practice address
239 Chippewa Dr
Bowling Green, KY 42103-1376
Phone
(270) 799-0779
NPI assigned
Jan 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 279544 KY Primary

Addresses

Primary practice location

239 Chippewa Dr
Bowling Green, KY 42103-1376

Mailing address

628 Rough Cir
Bowling Green, KY 42104-5544
Phone (724) 961-6048

Other practice location 1

2872 Ky Highway 1247
Stanford, KY 40484-7734
Phone (606) 669-3057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216003090 KY Practitioner - Occupational Therapist in Private Practice 3678053949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
To Go TherapyGroup PAC ID 2961873013, 11 clinicians
Defying Dementia LLCGroup PAC ID 6406335553, 7 clinicians

Practice addresses (Care Compare)

Stanford, KY 40484
Phone (606) 669-3057

Bowling Green, KY 42103
Phone (270) 799-0779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
279544KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Defying Dementia LLC Occupational Therapist CurrentSince Jan 7, 2026 Accepting new patients
To Go Therapy CurrentSince Jan 7, 2026 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1184573503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 ROUGH CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045544",
            "telephone_number": "724-961-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CHIPPEWA DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031376",
            "telephone_number": "270-799-0779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2872 Ky Highway 1247",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "KY",
            "postal_code": "404847734",
            "country_code": "US",
            "telephone_number": "606-669-3057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "LEAH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "279544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.