Leslie D Wright, COTA

Key facts

NPI

1225291982

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapy Assistant 224Z00000X

License

2006022463 (MO)

Practice address

158 Langston Dr
Reeds Spring, MO 65737-8236

Phone

(417) 272-1922

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2008.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1225291982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 FOUNTAIN LN",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "656869356",
            "telephone_number": "417-272-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 LANGSTON DR",
            "city": "REEDS SPRING",
            "state": "MO",
            "postal_code": "657378236",
            "telephone_number": "417-272-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LESLIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2006022463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO OCCUPATIONAL THERAPY ASSISTANT",
            "identifier": "2006023463",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reeds Spring, MO

• Stone County Health Department
• Kayla Thompson
• Angela Marie Tomlins, MD, AP
• Wal-Mart Stores East LP
• Wedgewood Inc

All providers in Reeds Spring, MO · Occupational Therapy Assistant in Missouri