Pamella Lee Leiter, OTR
Individual provider Active NPI Neurorehabilitation Occupational Therapist · Highwood, IL
NPI 1629477179 · NPPES record last updated Aug 21, 2014
Key facts
- NPI
- 1629477179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurorehabilitation Occupational Therapist 225XN1300X
- License
- 056002417 (IL)
- Practice address
- 20 Endicott LN
Highwood, IL 60040-2049 - Phone
- (847) 420-1138
- NPI assigned
- Aug 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
08337 M
140 Suite 5
South Haven, MI 49090-1990
Phone (847) 420-1138
15978 77TH St
South Haven, MI 49090-9487
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056002417 | IL | MD | Neurorehabilitation Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 056002417 | IL | Yes |
Addresses
Primary practice location
20 Endicott LN
Highwood, IL 60040-2049
Mailing address
20 Endicott LN
Highwood, IL 60040-2049
Phone (847) 420-1138
Other providers in Highwood, IL
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- Rebecca Kaechele
- Lisbeth Anne Leagjeld
- Paul Lee
- Kaja Lundevall
- Michelle Mary Marrocco
- Mason T. Hoel, DC, PC
- Leslie Ann McGregor
- Medintel PC
All providers in Highwood, IL · Neurorehabilitation Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.