Active NPI
Leslie A Schroeder, PT
- Hand Occupational Therapist
- Oklahoma City, OK
National Provider Identifier
1669432506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 1051
- Practice address
- 10001 S Western Ave
204
Oklahoma City, OK 73139-2997 - Phone
- (405) 691-5434
- Fax
- (405) 692-3403
- NPI assigned
- Mar 24, 2006
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 1051 | OK | Primary |
Addresses
Primary practice location
10001 S Western Ave
204
Oklahoma City, OK 73139-2997
Mailing address
10001 S Western Ave
204
Oklahoma City, OK 73139-2997
Phone (405) 691-5434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00472000 | Other | OK | RR MEDICARE |
| 200281230A | Medicaid | OK |
Other names 1
- Ms. Leslie A Shippy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1051 | OK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital LLC | Current | Accepting new patients |
Locations
10001 S Western Ave
Ste 204
Oklahoma City, OK 73139
Phone (405) 427-3752
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
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 and National Provider Directory roles.
-
dba Community Hospital
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1275593337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1669432506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 S WESTERN AVE",
"address_2": "204",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731392997",
"telephone_number": "405-691-5434",
"fax_number": "405-692-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 S WESTERN AVE",
"address_2": "204",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731392997",
"telephone_number": "405-691-5434",
"fax_number": "405-692-3403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "LESLIE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OK",
"license": "1051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00472000",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200281230A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "SHIPPY",
"middle_name": "A",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
- Robert Michael Schrock, APRN-CNP
- Schroeder Audiology & Hearing, LLC
- Elizabeth Mary Schroeder, RD, LD
- Joni L Schroeder, PA
- Krista L Schroeder, AUD
- David Schroyer, LADC-MH, STATE OF OK
- Madeline Jean Schrunk, M.A., CCC-SLP
- Schryver Medical Sales and Marketing, LLC
- Sarah Jane Schubarth, LADC-MH
- Randall Dean Schubert, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.