Individual provider Active NPI

Leigh Ann Odom, OTR

  • Physical Rehabilitation Occupational Therapist
  • Franklinton, LA
National Provider Identifier
1386858033
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OTT.200503 Issued in LA
Practice address
605 Hilltop Ave
Franklinton, LA 70438-1566
Phone
(985) 839-2203
Fax
(985) 839-2203
NPI assigned
May 10, 2007
Last updated
May 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X OTT.200503 LA Primary
Physical Rehabilitation Occupational Therapist 225XP0019X OT2716 MS

Addresses

Primary practice location

605 Hilltop Ave
Franklinton, LA 70438-1566

Mailing address

702 Old Camp Rd
Poplarville, MS 39470-6125
Phone (985) 839-2203

Other names 1

  • Leigh Ann Bishop Former name

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
OTT.200503LAMDPhysical Rehabilitation Occupational Therapist
OT2716MSMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1386858033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 OLD CAMP RD",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394706125",
            "telephone_number": "985-839-2203",
            "fax_number": "985-839-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HILLTOP AVE",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704381566",
            "telephone_number": "985-839-2203",
            "fax_number": "985-839-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "LA",
            "license": "OTT.200503",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MS",
            "license": "OT2716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "BISHOP",
            "middle_name": "ANN",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.