Active NPI
Leslie Macon O'Bryan, O.T.R./L., C.H.T.
- Hand Occupational Therapist
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT1383
- Practice address
- 1204 Office Park Dr Ste C
Oxford, MS 38655-3597 - Phone
- (662) 281-0022
- Fax
- (662) 281-0067
- NPI assigned
- Nov 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | MS | ||
| Hand Occupational Therapist | 225XH1200X | OT1383 | MS | Primary |
Addresses
Primary practice location
1204 Office Park Dr Ste C
Oxford, MS 38655-3597
Mailing address
1204 Office Park Dr Ste C
Oxford, MS 38655-3597
Phone (662) 281-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1204 Office Park Dr
Suite C
Oxford, MS 38655-3597
Phone (662) 281-0022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1383 | MS | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Hand Therapy | Occupational Therapist | Current | Accepting new patients |
| North Mississippi Hand Therapy | Occupational Therapist | Current | Accepting new patients |
Locations
187 Highway 51 S
Batesville, MS 38606
Phone (662) 281-0022
2714 West Oxford Loop
Ste 164
Oxford, MS 38655
Phone (662) 232-8949
1204 Office Park Dr
#C
Oxford, MS 38655
Phone (662) 281-0022
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.
-
- Occupational Therapist
- Oxford, MS
- NPI 1467856294
-
- Occupational Therapist
- Batesville, MS
- NPI 1740633312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1487733473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 OFFICE PARK DR STE C",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553597",
"telephone_number": "662-281-0022",
"fax_number": "662-281-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 OFFICE PARK DR STE C",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553597",
"telephone_number": "662-281-0022",
"fax_number": "662-281-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRYAN",
"first_name": "LESLIE",
"middle_name": "MACON",
"credential": "O.T.R./L., C.H.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": null,
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MS",
"license": "OT1383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.