Active NPI
Leslie Murdock
- Pediatric Occupational Therapist
- Columbus, OH
National Provider Identifier
1588316715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 006099
- Practice address
- 1350 Alum Creek Dr
Columbus, OH 43209-2705 - Phone
- (614) 262-7520
- NPI assigned
- Jan 19, 2022
- Last updated
- Jan 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 006099 | OH | |
| Pediatric Occupational Therapist | 225XP0200X | 006099 | OH | Primary |
Addresses
Primary practice location
1350 Alum Creek Dr
Columbus, OH 43209-2705
Mailing address
8230 Marwithe CT
New Albany, OH 43054-7112
Phone (614) 354-2727
Other practice location 1
1350 Alum Creek Dr
Columbus, OH 43209-2705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006099 | Other | OH | OTPTAT BOARD |
| 1065916 | Other | NBCOT |
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 |
|---|---|---|---|
| 006099 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Therapy Center | Occupational Therapist | Current | Accepting new patients |
| Bridgeway Therapy Center | Current | Accepting new patients |
Locations
1350 Alum Creek Dr
Columbus, OH 43209
Phone (614) 262-7520
Organizations & group practices 2
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.
-
- Home Health Agency
- Columbus, OH
- NPI 1508506619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1588316715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8230 MARWITHE CT",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430547112",
"telephone_number": "614-354-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 ALUM CREEK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432092705",
"telephone_number": "614-262-7520"
}
],
"practiceLocations": [
{
"address_1": "1350 Alum Creek Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432092705",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURDOCK",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "006099",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "006099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTPTAT BOARD",
"identifier": "006099",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "1065916",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.