Active NPI
Leslie C Anglin, OTR/L
- Occupational Therapist
- Georgetown, KY
National Provider Identifier
1841046554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 130831
- Practice address
- 110 Raise Old Glory LN
Georgetown, KY 40324-8025 - Phone
- (859) 582-9591
- NPI assigned
- Apr 24, 2024
- 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 | 130831 | KY | Primary |
Addresses
Primary practice location
110 Raise Old Glory LN
Georgetown, KY 40324-8025
Mailing address
110 Raise Old Glory LN
Georgetown, KY 40324-8025
Phone (859) 582-9591
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 |
|---|---|---|---|
| 130831 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1841046554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 RAISE OLD GLORY LN",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248025",
"telephone_number": "859-582-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 RAISE OLD GLORY LN",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248025",
"telephone_number": "859-582-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGLIN",
"first_name": "LESLIE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-24",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "130831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.