Active NPI
Symantha Leventhal, MOTR/L
- Occupational Therapist
- New Smyrna, FL
National Provider Identifier
1518326479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17473
- Practice address
- 140 Wallace Rd
New Smyrna, FL 32168-8069 - Phone
- (045) 786-0249
- NPI assigned
- Feb 19, 2016
- 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 | 17473 | FL | Primary |
Addresses
Primary practice location
140 Wallace Rd
New Smyrna, FL 32168-8069
Mailing address
6867 Southpoint Dr N
101
Jacksonville, FL 32216-8043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114875200 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17473 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1518326479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6867 SOUTHPOINT DR N",
"address_2": "101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 WALLACE RD",
"city": "NEW SMYRNA",
"state": "FL",
"postal_code": "321688069",
"telephone_number": "045-786-0249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENTHAL",
"first_name": "SYMANTHA",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-19",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "17473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114875200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Smyrna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.