Lesley Moss Pirko, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

147 Issued in NC

Practice address

3840 Bon Rea Dr
Charlotte, NC 28226-3150

Phone

(704) 807-6510

Fax

(704) 568-0453

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265556229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 BON REA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263150",
            "telephone_number": "704-807-6510",
            "fax_number": "704-568-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 BON REA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263150",
            "telephone_number": "704-807-6510",
            "fax_number": "704-568-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRKO",
        "first_name": "LESLEY",
        "middle_name": "MOSS",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7367797",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Napoleon Pinzon, M.D.
• Pioneer Home Care Service
• Lauren Piper, MD
• Kimberly Vargas Pipes, LCSW-A
• Javier Piraino, D.O
• Justine Piro
• Amanda Bowen Pirtle
• Mason Pirtle, DDS
• Amber Pisani, CRNA
• Mary Ellen Pisano, PHARM.D.

• Pediatric Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.