Active NPI
Leslie Ann McGee
- Occupational Therapist
- Carbondale, IL
National Provider Identifier
1659974509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.013643
- Practice address
- 120 N Tower Rd
Carbondale, IL 62901-1929 - Phone
- (618) 549-3355
- NPI assigned
- Nov 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.013643 | IL | Primary |
Addresses
Primary practice location
120 N Tower Rd
Carbondale, IL 62901-1929
Mailing address
1021 S Emerald LN
Carbondale, IL 62901-2433
Phone (312) 608-4934
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.013643 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1659974509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 S EMERALD LN",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629012433",
"telephone_number": "312-608-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N TOWER RD",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011929",
"telephone_number": "618-549-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEE",
"first_name": "LESLIE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.013643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.