Leianna Wichowski, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2007004044 Issued in MO

Practice address

5110 E Dallas PL
Broken Arrow, OK 74014-2687

Phone

(618) 975-3047

NPI assigned

Dec 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1225367766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 E DALLAS PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142687",
            "telephone_number": "618-975-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 E DALLAS PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142687",
            "telephone_number": "618-975-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHOWSKI",
        "first_name": "LEIANNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13899",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2007004044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891785000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Kenton Whitham, D.C.
• Francesca Whitman
• Lauren Elizabeth Whitney
• Malory Harwell Whitney, MS CCC-SLP
• Kylee Whittle
• Allison Russanne Wilcox, M.D.
• Sara Wilcox
• Tracy Leigh Wilde, BA
• Melinda Lee Wilkin, MSC SLT, BCBA
• Dakota Wilkinson

• Occupational Therapist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.