Teresa N Leibforth, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 8392 Issued in FL

Practice address

335 NE 10TH Ave
Crystal River, FL 34429-4456

Phone

(352) 795-5552

Fax

(352) 795-7751

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• O. T. 4 Kids, Inc

  • Occupational Therapist
  • Crystal River, FL
  • NPI 1861425126

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1306868765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 NW 47TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065992",
            "telephone_number": "352-376-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NE 10TH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294456",
            "telephone_number": "352-795-5552",
            "fax_number": "352-795-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBFORTH",
        "first_name": "TERESA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 8392",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "OT8392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z073P",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890815000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Eduardo Lara, PTA26488
• Karin Lastinger, OT
• Jacinda Lynn Laundree, LCSW
• Allarah M. Lavelle
• Jennifer M Lee, D.M.D
• Willow Elaine Lenoir, CNM
• Raven Lesure, MS
• Margie Maureen Leturno, APRN
• Sangita Patel Lewis, P.T.
• Charles S Li, M.D.

• Pediatric Occupational Therapist in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.