Organization Active NPI

Leaps 'N Bounds Therapy, PLLC

  • Occupational Therapist
  • Oak Ridge, TN
National Provider Identifier
1497236947
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LEAPS 'N BOUNDS THERAPY, PLLC
Practice address
402 Pennsylvania Ave
Oak Ridge, TN 37830-5117
Phone
(865) 299-0093
Fax
(844) 272-9718
NPI assigned
Aug 23, 2018
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Ashley Lynn ChamblinNPI 1568853653
Title
Occupational Therapist/Owner
Phone
(573) 712-4315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

402 Pennsylvania Ave
Oak Ridge, TN 37830-5117

Mailing address

402 Pennsylvania Ave
Oak Ridge, TN 37830-5117
Phone (865) 299-0093

Other identifiers 1

IdentifierTypeStateIssuer
Q041360MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1497236947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PENNSYLVANIA AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305117",
            "telephone_number": "865-299-0093",
            "fax_number": "844-272-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 PENNSYLVANIA AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305117",
            "telephone_number": "865-299-0093",
            "fax_number": "844-272-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS 'N BOUNDS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "CHAMBLIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "573-712-4315"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q041360",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.