Individual provider Active NPI

Leah Marie Muntges, MOTR/L

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1285907956
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2010029470 Issued in MO
Practice address
5210 Nottingham Ave
Saint Louis, MO 63109-2963
Phone
(314) 791-5906
NPI assigned
Feb 10, 2012
Last updated
Feb 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2010029470 MO Primary

Addresses

Primary practice location

5210 Nottingham Ave
Saint Louis, MO 63109-2963

Mailing address

5210 Nottingham Ave
Saint Louis, MO 63109-2963

Other identifiers 1

IdentifierTypeStateIssuer
2010029470OtherMOSTATE OF MISSOURI, MISSOURI BOARD OF HEALING ARTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010029470MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1285907956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 NOTTINGHAM AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 NOTTINGHAM AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092963",
            "telephone_number": "314-791-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTGES",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2010029470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI, MISSOURI BOARD OF HEALING ARTS",
            "identifier": "2010029470",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.