Theresa A Slyngstad, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

P63079 Issued in NY

Practice address

720 East Ave
Suite 100
Rochester, NY 14607-2192

Phone

(585) 263-2850

Fax

(585) 263-2885

NPI assigned

Feb 27, 2008

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

Other names 1

• Theresa A Leed Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1629247333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 GROSVENOR RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146103341",
            "telephone_number": "716-250-6500",
            "fax_number": "716-250-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 EAST AVE",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072192",
            "telephone_number": "585-263-2850",
            "fax_number": "585-263-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLYNGSTAD",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "P63079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "LEED",
            "middle_name": "A",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arianna Slotnick, PSYD
• Denisa Slova, MD
• Ben Sloviter, MFT
• Linda Sloyer
• Michelle D Slymon, NP
• Tyler John Slyngstad, M.D.
• Molly Elizabeth Smales, LMSW
• Small Smiles Dentistry of Rochester, LLC
• Small to Tall Dentistry and Orthodontics Chili
• Small to Tall, Dentistry for Children, PLLC

• Occupational Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.