Individual provider Active NPI

Nino Richie Chiang Leetian, OT

  • Occupational Therapist
  • Spring Hill, FL
National Provider Identifier
1699907808
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT14185 Issued in FL
Practice address
7030 Evergreen Woods TRL
Spring Hill, FL 34608-1305
Phone
(352) 610-4475
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X OT004476 GA
Occupational Therapist 225X00000X OT14185 FL Primary

Addresses

Primary practice location

7030 Evergreen Woods TRL
Spring Hill, FL 34608-1305

Mailing address

3614 Carrollwood Place Cir
Apt. 202
Tampa, FL 33624-3070
Phone (706) 980-1864

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT14185FLMDOccupational Therapist
OT004476GAMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integra Rehabilitation Agency, LLC PastSince Nov 7, 2014 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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1699907808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 CARROLLWOOD PLACE CIR",
            "address_2": "APT. 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336243070",
            "telephone_number": "706-980-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 EVERGREEN WOODS TRL",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346081305",
            "telephone_number": "352-610-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEETIAN",
        "first_name": "NINO RICHIE",
        "middle_name": "CHIANG",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "GA",
            "license": "OT004476",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.