Active NPI
Justin Leung, OTR/L
- Occupational Therapist
- Rowland Heights, CA
National Provider Identifier
1417580671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20723
- Practice address
- 19115 Colima Rd
Rowland Heights, CA 91748-3002 - Phone
- (800) 234-3401
- NPI assigned
- Feb 17, 2020
- Sex
- Male
- 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 | 20723 | CA | Primary |
Addresses
Primary practice location
19115 Colima Rd
Rowland Heights, CA 91748-3002
Mailing address
919 S 4TH Ave
Arcadia, CA 91006-4217
Phone (626) 833-4929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Camino Alto
Mill Valley, CA 94941-2956
Phone (732) 886-6202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20723 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Coast Rehab Physical Therapy Inc | Occupational Therapist | Current | Accepting new patients |
Locations
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
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.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1639766603
CA, Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1417580671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 S 4TH AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910064217",
"telephone_number": "626-833-4929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19115 COLIMA RD",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917483002",
"telephone_number": "800-234-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "JUSTIN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-17",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "20723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.