Active NPI
Leslie Jones Goodall, OTRL
- Occupational Therapist
- Marlinton, WV
National Provider Identifier
1376728121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 375
- Practice address
- 926 Fifth Avenue
Pocahontas County Schools
Marlinton, WV 24954 - Phone
- (304) 799-4505
- Fax
- (304) 799-4499
- NPI assigned
- Dec 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 375 | WV | Primary |
Addresses
Primary practice location
926 Fifth Avenue
Pocahontas County Schools
Marlinton, WV 24954
Mailing address
936 Collins Run Lane
Monterey, VA 24465
Phone (540) 468-2704
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 375 | WV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocahontas County Board of Education | Past | Accepting new patients | |
| Pocahontas County Board of Education | 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.
-
- Local Education Agency (LEA)
- Marlinton, WV
- NPI 1245430321
-
- Local Education Agency (LEA)
- Marlinton, WV
- NPI 1679742399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1376728121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 COLLINS RUN LANE",
"city": "MONTEREY",
"state": "VA",
"postal_code": "24465",
"telephone_number": "540-468-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 FIFTH AVENUE",
"address_2": "POCAHONTAS COUNTY SCHOOLS",
"city": "MARLINTON",
"state": "WV",
"postal_code": "24954",
"telephone_number": "304-799-4505",
"fax_number": "304-799-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODALL",
"first_name": "LESLIE",
"middle_name": "JONES",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlinton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.