Active NPI
Katie Leon, MS, OTR/L, CBIS
- Occupational Therapist
- Fond Du Lac, WI
National Provider Identifier
1346788809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6979-26
- Practice address
- 10102 Overlook Drive
Fond Du Lac, WI 54937 - Phone
- (501) 472-7509
- NPI assigned
- Feb 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6979-26 | WI | Primary |
Addresses
Primary practice location
10102 Overlook Drive
Fond Du Lac, WI 54937
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900
Other practice location 1
130 2nd St
Neenah, WI 54956-2883
Phone (920) 729-2155
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6979-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1346788809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-830-5900",
"fax_number": "920-830-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10102 OVERLOOK DRIVE",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "54937",
"telephone_number": "501-472-7509"
}
],
"practiceLocations": [
{
"address_1": "130 2nd St",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549562883",
"country_code": "US",
"telephone_number": "920-729-2155",
"fax_number": "920-720-7350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEON",
"first_name": "KATIE",
"credential": "MS, OTR/L, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-05",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6979-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.