Jessica Terrell Leake

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

T4005 Issued in KY

Practice address

1900 Midland TRL Ste 1&2
Shelbyville, KY 40065-8141

Phone

(502) 633-1007

NPI assigned

Oct 28, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1336392844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MIDLAND TRL STE 1&2",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MIDLAND TRL STE 1&2",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658141",
            "telephone_number": "502-633-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "JESSICA",
        "middle_name": "TERRELL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "T4005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Dawn Lawrence
• Daria Darnae Lawrence, CCC-SLP
• John Clark Lawrence, C.PED
• Richard Lawrence
• Mary A Lawson, OTR/L
• Learning Lightbulb Interventions, LLC
• Sherryn G Lecompte, P.T.
• Lori Nation Legrand, MD
• Francis Leonard, P.A.C
• Lawrence Clark Leonard Jr., CRNA

• Occupational Therapist in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.