Miriam Leebhoff

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09204600 Issued in NJ

Practice address

205 W Englewood Ave
Teaneck, NJ 07666-3526

Phone

(201) 357-0417

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By the provider in NPPES

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

Electronic endpoints 1

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

• The Therapy Gym

  • Physical Therapy Clinic/Center
  • Teaneck, NJ
  • NPI 1972882249
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1326643941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 WILSON AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661863",
            "telephone_number": "818-290-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W ENGLEWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663526",
            "telephone_number": "201-357-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEBHOFF",
        "first_name": "MIRIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09204600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Teaneck",
            "affiliation": "N",
            "address_1": "205 W Englewood Ave",
            "city": "Teaneck",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076663526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jooneui Lee, M.S.
• Karen C Lee, MD
• Mark Minjae Lee, PA-C
• Philip K Lee, DMD
• Sunjoo Lee, DO
• Harry Lefkowitz, DC
• Nan R Lehmann, MSW LCSW
• Iris Lehr, RPT
• Ayala Leiser, PA
• Kaitlyn Leithauser

• Occupational Therapy Assistant in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.