Active NPI
Leslie Ann McCormick, OTR
- Occupational Therapist
- Bellevue, WA
National Provider Identifier
1770915639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 00001004
- Practice address
- 1417 116TH Ave NE Ste 110
Bellevue, WA 98004-3821 - Phone
- (425) 688-5867
- NPI assigned
- Aug 2, 2013
- Last updated
- Aug 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 00001004 | WA | Primary |
Addresses
Primary practice location
1417 116TH Ave NE Ste 110
Bellevue, WA 98004-3821
Mailing address
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5867
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 00001004 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1770915639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 116TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044604",
"telephone_number": "425-688-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 116TH AVE NE STE 110",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043821",
"telephone_number": "425-688-5867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "LESLIE",
"middle_name": "ANN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 00001004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.