Individual provider Active NPI

Inna Leytman, MA OTR/L

  • Specialist
  • Rye Brook, NY
National Provider Identifier
1750695599
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
011505 Issued in NY
Practice address
10 Knollwood Dr
Rye Brook, NY 10573-1715
Phone
(917) 806-5209
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 011505 NY Primary

Addresses

Primary practice location

10 Knollwood Dr
Rye Brook, NY 10573-1715

Mailing address

10 Knollwood Dr
Rye Brook, NY 10573-1715
Phone (917) 806-5209

Other names 1

  • Inna Leytman Other name

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
011505NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1750695599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KNOLLWOOD DR",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731715",
            "telephone_number": "917-806-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KNOLLWOOD DR",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731715",
            "telephone_number": "917-806-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYTMAN",
        "first_name": "INNA",
        "credential": "MA OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "011505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INNA",
            "last_name": "LEYTMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.