Leslie Old, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00191500 Issued in NJ

Practice address

3349 Hwy 138
BLDG. B. Sutie a.
Wall Township, NJ 07719-9671

Phone

(732) 280-6050

Fax

(732) 280-6056

NPI assigned

Jul 18, 2014

Last updated

Jul 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1508273897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 THOMPSON BRIDGE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274624",
            "telephone_number": "732-987-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 HWY 138",
            "address_2": "BLDG. B. SUTIE A.",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199671",
            "telephone_number": "732-280-6050",
            "fax_number": "732-280-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLD",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00191500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Horizons in Autism, Inc.
• NJ Prime Health LLC
• Ramalakshmi K. Nuthi, MD
• Aimee O'Donnell, RPH
• Gregory T Obrien, PT
• Orthonj LLC
• Samantha Marie Osso, MS, LPC, NCC
• Katya Palsi, LSW
• Lorraine Mary Parker, MA,CCC-SLP
• Partners in Freedom LLC

• Occupational Therapist in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.