Leonie Goertzen

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT60119529 Issued in WA

Practice address

14902 E 14TH Ave
Spokane Valley, WA 99037-9694

Phone

(509) 720-7704

Fax

(509) 207-7427

NPI assigned

May 16, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• I Can Therapy PLLC

  • Clinic/Center
  • Spokane Valley, WA
  • NPI 1609322056
  NPD Authorized official

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750674305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1771",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990371771",
            "telephone_number": "509-720-7704",
            "fax_number": "509-207-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14902 E 14TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379694",
            "telephone_number": "509-720-7704",
            "fax_number": "509-207-7427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E 2nd Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992022225",
            "country_code": "US",
            "telephone_number": "509-835-4404",
            "fax_number": "509-835-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E 2nd Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992022225",
            "country_code": "US",
            "telephone_number": "509-835-4404",
            "fax_number": "509-835-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOERTZEN",
        "first_name": "LEONIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT60119529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Glesk
• Sarah Anne Gmeiner, L.M.P.
• Rebecca Gnezdova, CCC-SLP
• Michelle Goaslind-Rogalski, LMT
• Omar Enrique Godinez
• Maivnkauj Zoe Goertzen
• Lily Goettel
• Karlin Elizabeth Goffredo, MS., CCC-SLP
• Golden Community Care Adult Family Home, LLC
• Faith M Golden, PHD

• Pediatric Occupational Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.