Leisha Callan, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTR275 Issued in AR

Practice address

1311 Fort St
Suite L
Barling, AR 72923-2045

Phone

(479) 965-5086

Fax

(877) 694-8824

NPI assigned

Dec 19, 2005

Last updated

Oct 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1679559850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CEDAR LN",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729339499",
            "telephone_number": "479-965-5086",
            "fax_number": "877-694-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 FORT ST",
            "address_2": "SUITE L",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729232045",
            "telephone_number": "479-965-5086",
            "fax_number": "877-694-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAN",
        "first_name": "LEISHA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5S592",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115954721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Burton, MHPP
• Cynthia Seaton Cagle, LCSW
• Ramona Cain-Brown
• Harley Paige Cain
• Vanessa Caldwell
• Tysha Canley
• Jennifer A Carney, MHPP
• Tabatha Carter, MHPP
• Logan Cates, MHPP
• Jacob Chambers, MHPP

• Pediatric Occupational Therapist in Barling, AR
• Providers in Barling, AR by specialty
• Pediatric Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.