Central Coast Lymphedema Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CENTRAL COAST LYMPHEDEMA THERAPY

Practice address

1061 Murray Ave
San Luis Obispo, CA 93405-8807

Phone

(805) 782-9300

Fax

(805) 782-9700

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Leslyn Keith, M.S., OTR/L

Title

Owner

Phone

(805) 782-9300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Rosanne Johnson, OTR/L

  • Occupational Therapist
  • San Luis Obispo, CA
  • NPI 1316983414
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1699716555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 MURRAY AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934058807",
            "telephone_number": "805-782-9300",
            "fax_number": "805-782-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MURRAY AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934058807",
            "telephone_number": "805-782-9300",
            "fax_number": "805-782-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST LYMPHEDEMA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "LESLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-782-9300",
        "authorized_official_credential": "M.S., OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Coast Home Health Inc
• Central Coast Home Health, Inc.
• Central Coast Imaging, P.C.-Raytel Medical Imaging
• Central Coast Institute for Plastic Surgery, AMC
• Central Coast Lymphedema
• Central Coast Maternal-Fetal Medicine
• Central Coast Neurological Surgery PC
• Central Coast Neurology Medical Group, Inc
• Central Coast Nursing Home Physicians, Inc.
• Central Coast Obstetrics & Gynecology, Inc.

• Occupational Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.