Individual provider Active NPI

Leah Maria Antoinette Wiggins-Marshall

  • Occupational Therapist
  • Centennial, CO
National Provider Identifier
1508092966
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
588134 Issued in CO
Practice address
5579 S Hannibal Way
Centennial, CO 80015-4277
Phone
(303) 617-4357
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 588134 CO Primary

Addresses

Primary practice location

5579 S Hannibal Way
Centennial, CO 80015-4277

Mailing address

5579 S Hannibal Way
Centennial, CO 80015-4277
Phone (303) 617-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1335 Strassner Dr
Saint Louis, MO 63144-1872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
588134COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1508092966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 S HANNIBAL WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154277",
            "telephone_number": "303-617-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5579 S HANNIBAL WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154277",
            "telephone_number": "303-617-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS-MARSHALL",
        "first_name": "LEAH",
        "middle_name": "MARIA ANTOINETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "588134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.