Jonathan Lerch, 3585

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3585 Issued in NM

Practice address

800 Coronado Rd
Los Lunas, NM 87031

Phone

(505) 865-9313

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1518418029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 TRAMWAY BLVD NE",
            "address_2": "APT # 104",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232145",
            "telephone_number": "412-552-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORONADO RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-865-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERCH",
        "first_name": "JONATHAN",
        "credential": "3585",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "3585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3585",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald B Leach, O.D.
• Hyunjae Lee
• Whitney Lee, LMHC
• Melinda Jean Leighty, LMHC
• Mariah Lente
• Johnny Kyle Lester
• Paige Lewis
• Robert Elliott Lewis, THERAPIST II
• Maile Leyba
• Santana C Leyba, CSW ADULT SERVICES

• Occupational Therapy Assistant in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Occupational Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.