Active NPI
Joanne Marie Leary, MSM, OTR/L
- Occupational Therapist
- Ave Maria, FL
National Provider Identifier
1649413402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 13531
- Practice address
- 7962 Guadiana Way
Ave Maria, FL 34142-9596 - Phone
- (239) 220-6042
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 13531 | FL | Primary |
| Gerontology Occupational Therapist | 225XG0600X | OT 13531 | FL | |
| Mental Health Occupational Therapist | 225XM0800X | OT13531 | FL |
Addresses
Primary practice location
7962 Guadiana Way
Ave Maria, FL 34142-9596
Mailing address
7962 Guadiana Way
Ave Maria, FL 34142-9596
Phone (239) 220-6042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 13531 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1649413402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7962 GUADIANA WAY",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341429596",
"telephone_number": "239-220-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7962 GUADIANA WAY",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341429596",
"telephone_number": "239-220-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "JOANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSM, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-09",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 13531",
"primary": true
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "FL",
"license": "OT 13531",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "FL",
"license": "OT13531",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ave Maria, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.