Pat Leach, Otr/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0119000736 Issued in VA

Legal business name

PAT LEACH, OTR/L

Practice address

407 Church St NE
Suite D
Vienna, VA 22180-4737

Phone

(703) 242-1921

Fax

(703) 242-1922

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Patsy Penman Leach, OTR/L

Title

Pediatric Occupational Therapist

Phone

(703) 242-1921

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Pediatric Neuro Rehab Services Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Ann Abdow-Addis, PT, MS

  • Physical Therapist
  • Vienna, VA
  • NPI 1881768679
  NPD (past)
• Pearl Teresa Johnson-Vann, P.T.

  • Pediatric Physical Therapist
  • Vienna, VA
  • NPI 1871622100
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1649353483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CHURCH ST NE",
            "address_2": "SUITE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804737",
            "telephone_number": "703-242-1921",
            "fax_number": "703-242-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CHURCH ST NE",
            "address_2": "SUITE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804737",
            "telephone_number": "703-242-1921",
            "fax_number": "703-242-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT LEACH, OTR/L",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "PENMAN",
        "authorized_official_title_or_position": "PEDIATRIC OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "703-242-1921",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119000736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED PROVIDER NUMBER",
            "identifier": "372912",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "075429639",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PROVIDER NUMBER",
            "identifier": "192718",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Neuro Rehab Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jitisha Patel
• Shruti A Patel, DPM
• Snehal Patel, DDS, MD
• Meenal Pathak, MD
• Bella Dave Patnaik, MD

• Pediatric Occupational Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Pediatric Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.