Lesley Addison Khan-Farooqi, PHD, OTD, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11189 Issued in MA

Practice address

12309 N Mopac Expy
Austin, TX 78758-2577

Phone

(512) 324-9170

NPI assigned

Sep 15, 2011

Last updated

May 19, 2022By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: lesley.khan-farooqi.1@8363.direct.athenahealth.com

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1700168796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 S 2ND ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047049",
            "telephone_number": "512-324-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582577",
            "telephone_number": "512-324-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN-FAROOQI",
        "first_name": "LESLEY",
        "middle_name": "ADDISON",
        "credential": "PHD, OTD, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "0TT.200450",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116942",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "11189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "116942",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KG Dental PC (Blunn Creek Family Dentistry)
• Shirin M Khadivi, RPH
• Rubya Khalid
• Amrit Khalsa, LMSW
• Haumith Raza Khan-Farooqi, M.D.
• Afreen Khan, D.O.
• Aleem Rubbul Khan, PHARMD.
• Alicia Khan, MD
• Durreshahwar Khursheed Khan, M.D.
• Elizabeth Nabila Khan, NP-C

• Occupational Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.