Individual provider Active NPI

Leslee N Gaston, PTA

  • Physical Therapy Assistant
  • Bartlesville, OK
National Provider Identifier
1336738947
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2326 Issued in OK
Practice address
117 W 5TH St Ste 200
Bartlesville, OK 74003-6615
Phone
(918) 203-3313
Fax
(918) 512-4082
NPI assigned
Jan 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2326 OK Primary

Addresses

Primary practice location

117 W 5TH St Ste 200
Bartlesville, OK 74003-6615

Mailing address

117 W 5TH St Ste 200
Bartlesville, OK 74003-6615
Phone (918) 203-3313

Other identifiers 1

IdentifierTypeStateIssuer
2326OtherOKSTATE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BARTLESVILLE Direct

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

State licenses

LicenseStateTypeSpecialty
2326OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bartlesville Pediatric Occupational Therapy, LLC PastSince Jan 24, 2021 Accepting new patients
Step by Step Therapy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1336738947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 5TH ST STE 200",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036615",
            "telephone_number": "918-203-3313",
            "fax_number": "918-512-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 5TH ST STE 200",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036615",
            "telephone_number": "918-203-3313",
            "fax_number": "918-512-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "LESLEE",
        "middle_name": "N",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "2326",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BARTLESVILLE",
            "affiliation": "N",
            "endpointDescription": "EFax Bartlesville Hope Pediatric Therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "scripts",
            "address_1": "117 W 5th St Ste 200",
            "city": "Bartlesville",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740036615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.