Timothy Lee Leventry Leventry, ORTL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0C006168L Issued in PA

Practice address

1397 Eisenhower Blvd
Suite 304
Johnstown, PA 15904-3262

Phone

(814) 262-4236

Fax

(814) 262-4237

NPI assigned

Aug 31, 2006

Last updated

Feb 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1477664753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 EISENHOWER BLVD STE 101",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043267",
            "telephone_number": "814-262-4236",
            "fax_number": "814-262-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 EISENHOWER BLVD",
            "address_2": "SUITE 304",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043262",
            "telephone_number": "814-262-4236",
            "fax_number": "814-262-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENTRY",
        "first_name": "TIMOTHY",
        "middle_name": "LEE LEVENTRY",
        "name_prefix": "Mr.",
        "credential": "ORTL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "0C006168L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022150980001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Jay Leonardis, PA
• Kenneth Robert Leslie, DO
• Julie Lesneski, NP
• Matthew Todd Lesneski, CRNP
• Claire Lesney
• Jennifer Lynn Leverknight
• Sarah Lewis, LPC
• Michael H Lewitt, MD
• Vickie L. Ley, RN
• Sadaquat Jawad Liaqat, MD

• Occupational Therapist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.