Lesley Baumer, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008205 Issued in MI

Practice address

1820 Marys Way
Kingsford, MI 49802-4248

Phone

(906) 282-1653

NPI assigned

Nov 8, 2018

Last updated

Nov 8, 2018By the provider in NPPES

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)

Enrolled

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1750859641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3101 RIDGECREST DR",
            "city": "VULCAN",
            "state": "MI",
            "postal_code": "498928290",
            "telephone_number": "906-282-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MARYS WAY",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024248",
            "telephone_number": "906-282-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMER",
        "first_name": "LESLEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Kingsford, MI
• Providers in Kingsford, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.