Active NPI
Liancy Leon
- Developmental Therapist
- Hialeah, FL
National Provider Identifier
1881098358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 2500 W 56TH St Apt 1321
Hialeah, FL 33016-4769 - Phone
- (786) 587-8283
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | OTA12324 | FL | |
| Developmental Therapist | 222Q00000X | FL | Primary |
Addresses
Primary practice location
2500 W 56TH St Apt 1321
Hialeah, FL 33016-4769
Mailing address
2500 W 56TH St Apt 1321
Hialeah, FL 33016-4769
Phone (786) 587-8283
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 |
|---|---|---|---|
| OTA12324 | FL | MD | Early Intervention Provider Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Place Therapy Services | Early Intervention Provider Agency | Past | Accepting new patients |
| Sunshine Place Therapy Services | Early Intervention Provider Agency | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Hialeah, FL
- NPI 1275937237
-
- Clinic/Center
- Homestead, FL
- NPI 1063820942
Early Intervention Provider Agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1881098358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W 56TH ST APT 1321",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330164769",
"telephone_number": "786-587-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W 56TH ST APT 1321",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330164769",
"telephone_number": "786-587-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "LIANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "FL",
"license": "OTA12324",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.