Leaps and Bounds Pediatric Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LEAPS AND BOUNDS PEDIATRIC THERAPY

Practice address

3231 Willamette Dr NE Ste a
Lacey, WA 98516-1378

Phone

(360) 878-8734

NPI assigned

Oct 8, 2020

Last updated

Oct 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ilse Mullen

Title

OT

Phone

(360) 878-8734

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1811594252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 WILLAMETTE DR NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161378",
            "telephone_number": "360-878-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 WILLAMETTE DR NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161378",
            "telephone_number": "360-878-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS AND BOUNDS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "ILSE",
        "authorized_official_title_or_position": "OT",
        "authorized_official_telephone_number": "360-878-8734"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "OT00003784",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilsemot@comcast.net",
            "affiliation": "N",
            "address_1": "3231 Willamette Dr NE Ste A",
            "city": "Lacey",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985161378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karyn Laws, LMHC
• Abbie Laycock, DPT
• Melissa Sue Layer, LMHC
• Stephanie Lazrak
• Lan N Le
• Austine K Leblanc
• James J Lechner, MD
• Madeline Ledgerwood, RBT
• Lee J Edwards DDS PLLC
• Chong Lee, OD

• Occupational Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.