Active NPI
Leslie M Bushong, OTRL, OTD
- Occupational Therapist
- Denver, CO
National Provider Identifier
1518184159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2918 Umatilla St
Denver, CO 80211-3833 - Phone
- (859) 630-0083
- NPI assigned
- Apr 18, 2007
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
2918 Umatilla St
Denver, CO 80211-3833
Mailing address
2221 W 45TH Ave
Denver, CO 80211-1526
Phone (303) 653-8461
Other practice location 1
2221 W 45th Ave
Denver, CO 80211-1526
Phone (303) 653-8461
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT11891 | Other | FL | STATE LIC |
| 892106700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poseidon Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Denver, CO
- NPI 1518253335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1518184159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 W 45TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802111526",
"telephone_number": "303-653-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 UMATILLA ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802113833",
"telephone_number": "859-630-0083"
}
],
"practiceLocations": [
{
"address_1": "2221 W 45th Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802111526",
"country_code": "US",
"telephone_number": "303-653-8461",
"fax_number": "303-653-8461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSHONG",
"first_name": "LESLIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OTRL, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "OT11891",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892106700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.