Individual provider Active NPI

Leslie Y Dobkins, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Corvallis, OR
National Provider Identifier
1669549036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
999231 Issued in OR
Practice address
4515 SW Country Club Dr
Corvallis, OR 97333
Phone
(541) 757-8068
Fax
(541) 758-1030
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 999231 OR Primary

Addresses

Primary practice location

4515 SW Country Club Dr
Corvallis, OR 97333

Mailing address

4515 SW Country Club Dr
Corvallis, OR 97333
Phone (541) 757-8068

Other identifiers 1

IdentifierTypeStateIssuer
202783MedicaidOR

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
999231ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Old Mill Center for Children and Families Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669549036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SW COUNTRY CLUB DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97333",
            "telephone_number": "541-757-8068",
            "fax_number": "541-758-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 SW COUNTRY CLUB DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97333",
            "telephone_number": "541-757-8068",
            "fax_number": "541-758-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBKINS",
        "first_name": "LESLIE",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "999231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202783",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.