Leah Hall, OTR
Individual provider Active NPI Occupational Therapist · Park Rapids, MN
NPI 1497050686 · NPPES record last updated Apr 18, 2018
Key facts
- NPI
- 1497050686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 104029 (MN)
- Practice address
- 705 Pleasant Ave S
Park Rapids, MN 56470-1440 - Phone
- (218) 732-2800
- NPI assigned
- Jan 19, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Marys Regional Health Center
Practice addresses (Care Compare)
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Phone (218) 732-2800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110512000571 | MN | Practitioner - Occupational Therapist in Private Practice | 7113103961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104029 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Marys Regional Health Center | Current | Accepting new patients | |
| St Mary'S Regional Health Center | Occupational Therapist | Current |
Accepting new patients |
| St Mary'S Regional Health Center | Current |
Accepting new patients | |
| Big Stone Therapies Baxter, LLC | Occupational Therapist | Past |
Accepting new patients |
| Big Stone Therapies, Inc | Occupational Therapist | Past | Accepting new patients |
Locations
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
705 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-2800
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104029 | MN | Yes |
Addresses
Primary practice location
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Other providers in Park Rapids, MN
- Allison Gustafson
- Guy V Reich PA
- Donald J Gytri
- Anthony Hacker
- Dyneen L Hafics
- Christina Halse
- Lisa A Harmon
- Rose A Haroldson
- Nathan Phillip Harris
- Healthy Returns of Minnesota Inc
All providers in Park Rapids, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.