Active NPI
Leslie Ann Coonc, MOT
- Pediatric Occupational Therapist
- Portland, OR
National Provider Identifier
1780062836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 339131
- Practice address
- 5200 SW Macadam Ave
Ste 100
Portland, OR 97239-6103 - Phone
- (503) 224-1998
- NPI assigned
- May 8, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 339131 | OR | Primary |
Addresses
Primary practice location
5200 SW Macadam Ave
Ste 100
Portland, OR 97239-6103
Mailing address
3601 SW River Pkwy
Ste 2412
Portland, OR 97239-4553
Phone (360) 770-3631
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
| License | State | Type | Specialty |
|---|---|---|---|
| 339131 | OR | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1780062836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 SW RIVER PKWY",
"address_2": "STE 2412",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394553",
"telephone_number": "360-770-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 SW MACADAM AVE",
"address_2": "STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396103",
"telephone_number": "503-224-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONC",
"first_name": "LESLIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "339131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.