Active NPI
Leslie Wisner Moorer, OTRL
- Occupational Therapist
- Huntsville, AL
National Provider Identifier
1821167255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2605
- Practice address
- 2075 Max Luther Drive
Huntsville, AL 35810-3859 - Phone
- (256) 852-5600
- Fax
- (256) 852-6722
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2605 | AL | Primary |
Addresses
Primary practice location
2075 Max Luther Drive
Huntsville, AL 35810-3859
Mailing address
6608 Chadwell Road
Huntsville, AL 35802-1810
Phone (256) 797-8301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51532739 | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Leslie Luise Wisner
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 |
|---|---|---|---|
| 2605 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821167255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6608 CHADWELL ROAD",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358021810",
"telephone_number": "256-797-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 MAX LUTHER DRIVE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358103859",
"telephone_number": "256-852-5600",
"fax_number": "256-852-6722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORER",
"first_name": "LESLIE",
"middle_name": "WISNER",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "2605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51532739",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "WISNER",
"middle_name": "LUISE",
"credential": "OTRL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.