Micheal Anthony Leding II, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A967 Issued in AR

Practice address

1001 N 49TH St
Fort Smith, AR 72904-7211

Phone

(479) 209-4490

NPI assigned

May 28, 2015

Last updated

May 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Michael Anthony Leding II Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Pediatric Promise Center LLC

  • Medical Specialty Clinic/Center
  • Rudy, AR
  • NPI 1609256452
  NPD (past)

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1720467343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N 49TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729047211",
            "telephone_number": "479-209-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N 49TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729047211",
            "telephone_number": "479-209-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDING",
        "first_name": "MICHEAL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "LEDING",
            "middle_name": "ANTHONY",
            "prefix": "MR.",
            "suffix": "II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leann Lea, PHARMD
• Kelly Denisse Leader, LAC
• Bradley Richad Leamy, CRNA
• Mindy Lebarr, APRN
• Rachael Leigh Lebrun, APRN-CNM
• Lee and Company (Lee Pharmacy)
• Delayne Lee
• James Lawrence Lee Jr., D.D.S.
• Julie Lee
• Katelyn Faith Lee

• Occupational Therapy Assistant in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.