Individual provider Active NPI

Julie Ann Leigh, OTR/L

  • Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1730369042
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-009427 Issued in AZ
Practice address
9095 E Tanque Verde Rd Unit 171-138
Tucson, AZ 85749-8821
Phone
(520) 283-1492
NPI assigned
Nov 5, 2007
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-0000002915 TN
Occupational Therapist 225X00000X 60898765 WA
Occupational Therapist 225X00000X OTH-009427 AZ Primary

Addresses

Primary practice location

9095 E Tanque Verde Rd Unit 171-138
Tucson, AZ 85749-8821

Mailing address

9095 E Tanque Verde Rd Unit 171-138
Tucson, AZ 85749-8821
Phone (520) 283-1492

Other names 1

  • Julie Ann Davidzuk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 1, 2018 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2915TNMDClinical Psychologist
OTH-009427AZMDOccupational Therapist
OT-0000002915TNMDOccupational Therapist
60898765WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Physical Therapy, Inc Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1730369042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 E TANQUE VERDE RD UNIT 171-138",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498821",
            "telephone_number": "520-283-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 E TANQUE VERDE RD UNIT 171-138",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498821",
            "telephone_number": "520-283-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGH",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT-0000002915",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60898765",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-009427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "DAVIDZUK",
            "middle_name": "ANN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.