Individual provider Active NPI

Leah Denise Sizemore, OTR/L

  • Occupational Therapist
  • Somerset, KY
National Provider Identifier
1265903090
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
245702
Practice address
401 Bogle St Ste 206
Somerset, KY 42503-2850
Phone
(606) 398-8234
Fax
(606) 398-8235
NPI assigned
Dec 5, 2018
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 245702 KY
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 245702 Primary

Addresses

Primary practice location

401 Bogle St Ste 206
Somerset, KY 42503-2850

Mailing address

401 Bogle St Ste 206
Somerset, KY 42503-2850
Phone (606) 398-8234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190807003598 KY Practitioner - Occupational Therapist in Private Practice 4486981875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab Center, PSC Multi-Specialty CurrentSince May 28, 2019 Accepting new patients
Bluegrass Developmental Group Multi-Specialty CurrentSince Jul 28, 2024 Accepting new patients

Locations

175 Medpark Dr
Somerset, KY 42503
Phone (606) 679-1761

401 Bogle St
Ste 206
Somerset, KY 42503
Phone (606) 398-8234

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1265903090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST STE 206",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032850",
            "telephone_number": "606-398-8234",
            "fax_number": "606-398-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST STE 206",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032850",
            "telephone_number": "606-398-8234",
            "fax_number": "606-398-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "LEAH",
        "middle_name": "DENISE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "245702",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "245702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.