Leslie C Erickson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31000509A Issued in IN

Practice address

3222 Mishawaka Ave
South Bend, IN 46615-2352

Phone

(574) 255-8730

NPI assigned

Apr 5, 2010

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concept Therapy Professional CorporationGroup PAC ID 8123117876, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Concept Therapy Professional Corporation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • South Bend, IN
  • NPI 1497824577
  Medicare reassignment Care Compare group NPD
• Concept Therapy Professional Corporation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Elkhart, IN
  • NPI 1558856542
  NPD (past)
• Michiana Therapy Network

  • Speech-Language Pathologist
  • Granger, IN
  • NPI 1366771479

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1346565298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E MCKINLEY AVE STE 1",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456285",
            "telephone_number": "574-255-8730",
            "fax_number": "574-255-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 MISHAWAKA AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152352",
            "telephone_number": "574-255-8730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51738 Sagecrest Dr",
            "address_purpose": "LOCATION",
            "city": "Granger",
            "state": "IN",
            "postal_code": "465306887",
            "country_code": "US",
            "telephone_number": "574-339-5959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 E McKinley Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465456285",
            "country_code": "US",
            "telephone_number": "574-255-8730",
            "fax_number": "574-255-8732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "LESLIE",
        "middle_name": "C",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000509A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032591",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleah Enyeart, LCSW
• Elisabeth Epp
• Terrance Desmond Eppenger, HHA
• Kimberly M Erby
• Carol Erdman, PH.D.
• Andrea Eriks, LMHC, NCC
• Kristin E Ermeti, LCSW
• Jordan Escobedo
• Sabrina Lynn Esper, LMHC
• Karen Lynn Esperanza, LCSW

• Occupational Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.