Individual provider Active NPI

Leann Geralyn Witgen, OTR

  • Occupational Therapist
  • Lansing, MI
National Provider Identifier
1780014662
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201000092 Issued in MI
Practice address
731 Starkweather Dr
Lansing, MI 48917-1128
Phone
(517) 323-9133
Fax
(517) 323-0092
NPI assigned
Nov 14, 2013
Last updated
Nov 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201000092 MI Primary

Addresses

Primary practice location

731 Starkweather Dr
Lansing, MI 48917-1128

Mailing address

731 Starkweather Dr
Lansing, MI 48917-1128
Phone (517) 323-9133

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

State licenses

LicenseStateTypeSpecialty
5201000092MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1780014662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 STARKWEATHER DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171128",
            "telephone_number": "517-323-9133",
            "fax_number": "517-323-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 STARKWEATHER DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171128",
            "telephone_number": "517-323-9133",
            "fax_number": "517-323-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITGEN",
        "first_name": "LEANN",
        "middle_name": "GERALYN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.