Active NPI
Leslie D Walker, OT
- Occupational Therapist
- Philadelphia, PA
National Provider Identifier
1467563288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC010450
- Practice address
- 8019 Frankford Ave
Philadelphia, PA 19136-2786 - Phone
- (215) 338-8900
- Fax
- (215) 338-8923
- NPI assigned
- Aug 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | TR001914 | NJ | |
| Occupational Therapist | 225X00000X | U1-0001009 | DE | |
| Occupational Therapist | 225X00000X | OC010450 | PA | Primary |
Addresses
Primary practice location
8019 Frankford Ave
Philadelphia, PA 19136-2786
Mailing address
2 W 10TH St
Marcus Hook, PA 19061-4513
Phone (610) 859-9110
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30067867 | Other | PA | KEYSTONE MERCY |
| 3498602000 | Other | IBC | |
| 141156ZB8Y | Other | DE | MEDICARE |
| P00692889 | Other | DE | MEDICARE RAILROAD |
| 1467563288 | Other | PA | BRAVO |
| WA369990 | Other | PA | IBC |
| 102306174 | Medicaid | PA | |
| 1467563288 | Medicaid | DE | |
| 143999VLZ | Other | PA | MEDICARE |
| P00692889 | Other | PA | MEDICARE RAILROAD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TR001914 | NJ | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy Services of Pennsylvania LLC | Past | Accepting new patients | |
| Home Care Health Specialists LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- Aston, PA
- NPI 1346477981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1467563288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W 10TH ST",
"city": "MARCUS HOOK",
"state": "PA",
"postal_code": "190614513",
"telephone_number": "610-859-9110",
"fax_number": "610-859-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191362786",
"telephone_number": "215-338-8900",
"fax_number": "215-338-8923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "LESLIE",
"middle_name": "D",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NJ",
"license": "TR001914",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U1-0001009",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC010450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30067867",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "3498602000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "141156ZB8Y",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00692889",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO",
"identifier": "1467563288",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "WA369990",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102306174",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467563288",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "143999VLZ",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00692889",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.