Active NPI
Leah Shannon Warner, M.S., OTR/L
- Occupational Therapist
- Hoboken, NJ
National Provider Identifier
1306332184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00937200
- Practice address
- 1100 Maxwell Lane
Unit 638
Hoboken, NJ 07030 - Phone
- (718) 762-7633
- Fax
- (718) 886-8694
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 022640 | NY | |
| Occupational Therapist | 225X00000X | 46TR00937200 | NJ | Primary |
Addresses
Primary practice location
1100 Maxwell Lane
Unit 638
Hoboken, NJ 07030
Mailing address
1100 Maxwell Lane
Unit 638
Hoboken, NJ 07030
Phone (908) 797-9077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022640 | Other | NY | OCCUPATIONAL THERAPY LICENSE LUMBER |
| 401876 | Other | NBCOT REGISTRATION |
Other names 1
- Ms. Leah Shannon Oliver
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00937200 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1306332184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MAXWELL LANE",
"address_2": "UNIT 638",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "07030",
"telephone_number": "908-797-9077",
"fax_number": "718-886-8694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MAXWELL LANE",
"address_2": "UNIT 638",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "07030",
"telephone_number": "718-762-7633",
"fax_number": "718-886-8694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "LEAH",
"middle_name": "SHANNON",
"name_prefix": "Mrs.",
"credential": "M.S., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022640",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00937200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE LUMBER",
"identifier": "022640",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT REGISTRATION",
"identifier": "401876",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEAH",
"last_name": "OLIVER",
"middle_name": "SHANNON",
"prefix": "MS.",
"credential": "M.S., OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.