Leslie Lewis Smith, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057005290 Issued in IL

Practice address

790 Fletcher Dr Ste 101
Elgin, IL 60123-4757

Phone

(847) 697-7800

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: childtherapyandrehab.lesliesmith@158752.advancedmd-direct.com

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.

• Child Therapy and Rehabilitation LLC

  • Hearing and Speech Clinic/Center
  • Elgin, IL
  • NPI 1679927222
  NPD (past)

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1609417781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LAKEWOOD DR",
            "city": "OAKWOOD HILLS",
            "state": "IL",
            "postal_code": "600131120",
            "telephone_number": "847-567-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 FLETCHER DR STE 101",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234757",
            "telephone_number": "847-697-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESLIE",
        "middle_name": "LEWIS",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057005290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Smirat
• Alexander John Smith, DMD
• Brittney Smith, APN
• Diane Smith
• Imelda Smith, PA-C
• Michael J Smith, M.D.
• Samuel Smith
• Stephen Lynn Smith Jr.
• Smithotics LLC
• Geoffrey L Smoron, MD

• Occupational Therapy Assistant in Elgin, IL
• Providers in Elgin, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.