Individual provider Active NPI

Lesley Quinn, OT

  • Occupational Therapist
  • Gahanna, OH
National Provider Identifier
1548933443
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006677 Issued in OH
Practice address
670 Morrison Rd Ste 205
Gahanna, OH 43230-5324
Phone
(614) 755-2347
Fax
(614) 755-2348
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 OT006677 OH Primary

Addresses

Primary practice location

670 Morrison Rd Ste 205
Gahanna, OH 43230-5324

Mailing address

670 Morrison Rd Ste 205
Gahanna, OH 43230-5324
Phone (614) 755-2347

Other identifiers 1

IdentifierTypeStateIssuer
OT006677OtherOHSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://enlivenhomehealth.com/

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1548933443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MORRISON RD STE 205",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305324",
            "telephone_number": "614-755-2347",
            "fax_number": "614-755-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MORRISON RD STE 205",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305324",
            "telephone_number": "614-755-2347",
            "fax_number": "614-755-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "LESLEY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT006677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT006677",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://enlivenhomehealth.com/",
            "affiliation": "N",
            "address_1": "670 Morrison Rd Ste 205",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432305324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.