Leslie R Goodson, OTR/L, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT 467 Issued in OK

Practice address

351 N Air Depot Blvd
Ste X
Midwest City, OK 73110-1700

Phone

(405) 732-1766

Fax

(405) 732-4337

NPI assigned

Sep 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Leslie R Borucki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Oklahoma City, OK
  • NPI 1386605905
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1811205594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N AIR DEPOT BLVD",
            "address_2": "STE X",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731101700",
            "telephone_number": "405-732-1766",
            "fax_number": "405-732-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N AIR DEPOT BLVD",
            "address_2": "STE X",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731101700",
            "telephone_number": "405-732-1766",
            "fax_number": "405-732-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "LESLIE",
        "middle_name": "R",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT11614",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OK",
            "license": "OT 467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "BORUCKI",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Skyler Gooch
• Jamie Good, RBT
• Ronald Jeffrey Goodell, D.O.
• Laura Goodheart Mugler, M.ED., L.P.C.
• Donita K Goodin, LPC
• Candace Goodwin, PMHNP
• Michelle Lynn Goolsby, M.ED
• Trevor Allan Gordon Jr., BHRS/BS
• Erica Gorman
• Sebrina Dawn Goss

• Hand Occupational Therapist in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Hand Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.