Leslie Halbisen, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

516 Glenview Dr
Fostoria, OH 44830-1624

Phone

(419) 619-1069

NPI assigned

Dec 30, 2019

Last updated

Jan 6, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1407495047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 GLENVIEW DR",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301624",
            "telephone_number": "419-619-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 GLENVIEW DR",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301624",
            "telephone_number": "419-619-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBISEN",
        "first_name": "LESLIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "4196191069",
            "affiliation": "N",
            "address_1": "25 Christopher Dr",
            "city": "Fostoria",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448303318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Good Shepherd Home
• Tonia Marie Groves, RN
• Gayle D Guernsey
• Thomas C Guernsey, D.D.S.
• Robert Charles Hadacek, DDS
• Johanna Harris, PHARMD
• HCF of Fostoria, Inc.
• HCF of Fostoria, Inc. (St. Catherine's Manor of Fostoria Lab)
• HCF of Fostoria, Inc. (St. Catherine's Manor of Fostoria)
• Olvia Ann Heckathorn, LPN

• Occupational Therapy Assistant in Fostoria, OH
• Providers in Fostoria, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.