Leah Ann Bidtah, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

010133-1 Issued in NY

Practice address

2565 Elmwood Ave
Kenmore, NY 14217-1939

Phone

(716) 871-9883

NPI assigned

Nov 25, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Other names 1

• Miss Leah Ann Hodgson Former name

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": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184790958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BRIARCLIFF RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251060",
            "telephone_number": "716-200-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171939",
            "telephone_number": "716-871-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDTAH",
        "first_name": "LEAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "010133-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "010133-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "HODGSON",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christiana Marie Berge, MS, OTR/L
• Nicole Lynn Bernholz, COTA/L
• Rebecca Romano Besch, MS, ATC, PES
• Tamanna Bhalla
• Sutanuka Bhattacharjya
• Heidi Billittier
• Lawrence R Birzon, DC, PT
• Mary Blackley
• Ashley Blair
• Lauren Elizabeth Blair

• Pediatric Occupational Therapist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.