Individual provider Active NPI

Gisselle Alicia Leppert, OT

  • Occupational Therapist
  • Fishers, IN
National Provider Identifier
1821713264
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
9726 Ambleside Dr Unit 104
Fishers, IN 46038-9618
Phone
(317) 319-8341
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

9726 Ambleside Dr Unit 104
Fishers, IN 46038-9618

Mailing address

9726 Ambleside Dr Unit 104
Fishers, IN 46038-9618
Phone (317) 319-8341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230505000468 IN Practitioner - Occupational Therapist in Private Practice 1456716901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

11570 E 126TH St
Vertis Therapy|Lake Meadows
Fishers, IN 46037-9592
Phone (317) 579-0166

3060 Valley Farms Rd
Indianapolis, IN 46214-4501
Phone (800) 444-6845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Aegis Group Practice LLC Single Specialty Current Accepting new patients
Creative Health Care Management LLC Occupational Therapist CurrentSince Feb 1, 2024 Accepting new patients
Fox Rehab Indiana LLC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Mar 27, 2024 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Mar 27, 2024 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

14901 Carey Rd
Carmel, IN 46033

11570 E 126th St
Fishers, IN 46037
Phone (317) 349-5913

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

98 N 10th St
Greencastle, IN 46135
Phone (765) 301-4642

3630 Hickory Rd
Mishawaka, IN 46545
Phone (574) 252-7225

10 S 9th St
Ste 4
Noblesville, IN 46060

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1821713264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 AMBLESIDE DR UNIT 104",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460389618",
            "telephone_number": "317-319-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9726 AMBLESIDE DR UNIT 104",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460389618",
            "telephone_number": "317-319-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPERT",
        "first_name": "GISSELLE",
        "middle_name": "ALICIA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.