Active NPI
Liesl Thompson Jones, O.T.
- Pediatric Occupational Therapist
- Allen, TX
National Provider Identifier
1609125103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 109178
- Practice address
- 515 West Main Street
Suite 111
Allen, TX 75013 - Phone
- (214) 509-6961
- Fax
- (214) 382-0943
- NPI assigned
- Aug 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 109178 | TX | Primary |
Addresses
Primary practice location
515 West Main Street
Suite 111
Allen, TX 75013
Mailing address
515 West Main Street
Suite 111
Allen, TX 75013
Phone (214) 509-6961
Other names 1
- Miss Liesl Thompson
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 |
|---|---|---|---|
| 109178 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Therapy Zone LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1609125103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 WEST MAIN STREET",
"address_2": "SUITE 111",
"city": "ALLEN",
"state": "TX",
"postal_code": "75013",
"telephone_number": "214-509-6961",
"fax_number": "214-382-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 WEST MAIN STREET",
"address_2": "SUITE 111",
"city": "ALLEN",
"state": "TX",
"postal_code": "75013",
"telephone_number": "214-509-6961",
"fax_number": "214-382-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LIESL",
"middle_name": "THOMPSON",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "109178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIESL",
"last_name": "THOMPSON",
"prefix": "MISS",
"credential": "O.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.