Individual provider Active NPI

Stephen Vincent Leo, OTR, CHT

  • Occupational Therapist
  • Dawsonville, GA
National Provider Identifier
1548344013
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009827 Issued in GA
Practice address
78 Dawson Village Way N Ste 230
Dawsonville, GA 30534-5642
Phone
(706) 265-3575
NPI assigned
Oct 24, 2006
Last updated
May 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 OT009827 GA Primary

Addresses

Primary practice location

78 Dawson Village Way N Ste 230
Dawsonville, GA 30534-5642

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

107 Mactanly Pl
Staunton, VA 24401
Phone (540) 885-1177

Other identifiers 1

IdentifierTypeStateIssuer
C08501858OtherVAMEDICARE-DME JURS C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520003376 GA Practitioner - Occupational Therapist in Private Practice 6305894809 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Florida International Univ, College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

78 Dawson Village Way N
Suite 230
Dawsonville, GA 30534-5642
Phone (678) 865-8449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT009827GAMDOccupational Therapist

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1548344013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 DAWSON VILLAGE WAY N STE 230",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305345642",
            "telephone_number": "706-265-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Mactanly Pl",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "24401",
            "country_code": "US",
            "telephone_number": "540-885-1177",
            "fax_number": "540-885-5856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEO",
        "first_name": "STEPHEN",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-DME JURS C",
            "identifier": "C08501858",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.