Leann Cargile , Otr, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

106193 Issued in TX

Legal business name

LEANN CARGILE , OTR, LLC

Doing business as

Skill Builders Therapy Services

Practice address

615 S Broadway Ave Ste 103
Tyler, TX 75701-1668

Phone

(903) 258-0807

Fax

(903) 686-1211

NPI assigned

Nov 21, 2017

Organization subpart

No

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

Authorized official

Name

Leann Cargile, OTR

Title

Owner

Phone

(903) 258-0807

Specialties & licenses 1

Addresses

Other names 1

• Skill Builders Therapy Services Doing business as

Locations

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1619481082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11231 MARSH WREN CIR",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757628739",
            "telephone_number": "903-258-0807",
            "fax_number": "903-686-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S BROADWAY AVE STE 103",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011668",
            "telephone_number": "903-258-0807",
            "fax_number": "903-686-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEANN CARGILE , OTR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "CARGILE",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-258-0807",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "106193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skill Builders Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mimi Ngoc Bao Le, OD
• Minh Q Le, MD
• Quoc-Albert D Le, DDS
• Kaitlyn League, AUD
• Haley E Leake
• Mary Ann Learned, PT
• Learning About Family
• Nancy Leatherwood
• Steve Wayne Lebo, D,D.S.
• Michelle Sharon Esclares Ledesma, MD

• Pediatric Occupational Therapist in Tyler, TX
• Providers in Tyler, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.