Active NPI
Virginia Leeson, MSOTR/L, CLT
- Occupational Therapist
- Port St Lucie, FL
National Provider Identifier
1407290059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT23103
- Practice address
- 479 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731 - Phone
- (772) 408-4848
- Fax
- (772) 408-0978
- NPI assigned
- Apr 25, 2013
- 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 | OT23103 | FL | Primary |
Addresses
Primary practice location
479 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731
Mailing address
479 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731
Phone (772) 408-4848
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lymphatic Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Preferred Provider Organization
- Las Vegas, NV
- NPI 1881037844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1407290059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 NW PRIMA VISTA BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349838731",
"telephone_number": "772-408-4848",
"fax_number": "772-408-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 NW PRIMA VISTA BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349838731",
"telephone_number": "772-408-4848",
"fax_number": "772-408-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEESON",
"first_name": "VIRGINIA",
"credential": "MSOTR/L, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-25",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT23103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
- April Evette Leak, TCM
- Leanne K Tinsley DMD, P.L.L.C.
- Learning Steps Diagnostics and Educational Center, LLC
- Ricky Lee, DO
- Spencer Darrell Lee, M.D.
- Eric Ray Leever, LMHC
- Legacy Behavioral Health Center
- Legacy Behavioral Health Center
- Legacy Consulting and Counseling Solutions (Flourish Mental Health)
- Frannicha Emilie Legros
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.