Individual provider Active NPI

Megan Leaver, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Wentzville, MO
National Provider Identifier
1427676295
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2020019918 Issued in MO
Practice address
718 Luetkenhaus Blvd
Wentzville, MO 63385-3515
Phone
(636) 445-5001
NPI assigned
Jul 8, 2020
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2020019918 MO Primary

Addresses

Primary practice location

718 Luetkenhaus Blvd
Wentzville, MO 63385-3515

Mailing address

1214 Blackwatch Dr
Manchester, MO 63021-6814
Phone (314) 805-1127

Other practice location 1

3115 S Grand Blvd
Saint Louis, MO 63118-1034
Phone (314) 312-2357

Other names 1

  • Megan Mason Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220524001393 MO Practitioner - Occupational Therapist in Private Practice 7113304536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axes Physical Therapy LLCGroup PAC ID 3375840028, 112 clinicians

Practice addresses (Care Compare)

718 Luetkenhaus Blvd
Wentzville, MO 63385-3515
Phone (636) 445-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020019918MOMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axes Physical Therapy, LLC CurrentSince May 17, 2022 Accepting new patients
Axes Physical Therapy, LLC CurrentSince May 17, 2022 Accepting new patients

Locations

1155 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225

8015 Mackenzie Rd
Saint Louis, MO 63123
Phone (314) 356-2442

5200 Executive Centre Pkwy
Ste 200
Saint Peters, MO 63376
Phone (636) 255-8750

21 Silo Dr
Union, MO 63084
Phone (636) 649-4131

2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560

718 Luetkenhaus Blvd
Wentzville, MO 63385
Phone (636) 445-5001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1427676295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 BLACKWATCH DR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630216814",
            "telephone_number": "314-805-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LUETKENHAUS BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853515",
            "telephone_number": "636-445-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631181034",
            "country_code": "US",
            "telephone_number": "314-312-2357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAVER",
        "first_name": "MEGAN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2020019918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MASON",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.

Verify at the official NPI Registry.