Individual provider Active NPI

Leigh Allison Burkey, OTR/L

  • Pediatric Occupational Therapist
  • Sausalito, CA
National Provider Identifier
1649848581
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5040 Issued in CA
Practice address
350 Gate 5 Rd
Sausalito, CA 94965-2805
Phone
(415) 339-8800
NPI assigned
Jun 16, 2021
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5040 CA Primary

Addresses

Primary practice location

350 Gate 5 Rd
Sausalito, CA 94965-2805

Mailing address

293 Butterfield Rd
San Anselmo, CA 94960-1240
Phone (925) 787-3593

Other practice location 1

350 Gate 5 Rd
Sausalito, CA 94965-2805
Phone (415) 339-8800

Other identifiers 2

IdentifierTypeStateIssuer
5040OtherCACALIFORNIA BOARD OF OCCUPATIONAL THERAY (CBOT)
1049397OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC. (NBCOT)

Other names 1

  • Leugh Allison Burkey Fong Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5040CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ready Set Go Therapy, Inc. Pediatrics CurrentSince Jun 22, 2021 Accepting new patients

Locations

350 Gate 5 Rd
Sausalito, CA 94965
Phone (415) 339-8800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1649848581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 BUTTERFIELD RD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601240",
            "telephone_number": "925-787-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GATE 5 RD",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652805",
            "telephone_number": "415-339-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Gate 5 Rd",
            "address_purpose": "LOCATION",
            "city": "Sausalito",
            "state": "CA",
            "postal_code": "949652805",
            "country_code": "US",
            "telephone_number": "415-339-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKEY",
        "first_name": "LEIGH",
        "middle_name": "ALLISON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "5040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAY (CBOT)",
            "identifier": "5040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC. (NBCOT)",
            "identifier": "1049397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEUGH",
            "last_name": "BURKEY FONG",
            "middle_name": "ALLISON",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sausalito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.