Individual provider Active NPI

Leslie Joan Reimann, OTR/L

  • Pediatric Occupational Therapist
  • Peoria, AZ
National Provider Identifier
1841374451
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2073 Issued in AZ
Practice address
8363 W Antelope Dr
Peoria, AZ 85383-4602
Phone
(623) 566-8459
Fax
(623) 566-8459
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2073 AZ Primary

Addresses

Primary practice location

8363 W Antelope Dr
Peoria, AZ 85383-4602

Mailing address

8363 W Antelope Dr
Peoria, AZ 85383-4602
Phone (623) 566-8459

Other identifiers 1

IdentifierTypeStateIssuer
455304MedicaidAZ

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841374451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8363 W ANTELOPE DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834602",
            "telephone_number": "623-566-8459",
            "fax_number": "623-566-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8363 W ANTELOPE DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834602",
            "telephone_number": "623-566-8459",
            "fax_number": "623-566-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMANN",
        "first_name": "LESLIE",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "2073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "455304",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.