Individual provider Active NPI

Leah Fazal, OTR/L

  • Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1891193926
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
018689 Issued in NY
Practice address
5281 N 99TH Ave Ste 200
Glendale, AZ 85305-3199
Phone
(623) 889-0411
NPI assigned
Dec 5, 2014
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 018689 NY Primary

Addresses

Primary practice location

5281 N 99TH Ave Ste 200
Glendale, AZ 85305-3199

Mailing address

367 N Ocean Ave
Patchogue, NY 11772-2014
Phone (718) 791-8950

Other practice location 1

38 Oak St
Patchogue, NY 11772-2883
Phone (718) 791-8950

Other practice location 2

45 Hammond Rd
Glen Cove, NY 11542-4345
Phone (917) 385-5764

Other practice location 3

11 Irving Pl
Woodmere, NY 11598-1256
Phone (718) 791-8950

Other practice location 4

9327 N 3rd St Ste 100
Phoenix, AZ 85020-2471
Phone (602) 648-5444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605000505 NY Practitioner - Occupational Therapist in Private Practice 7618200734 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018689NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand in Hand Rehabilitation, OT, PC CurrentSince Sep 22, 2022 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Occupational Therapist CurrentSince Jun 3, 2019 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Occupational Therapist CurrentSince Aug 24, 2022 Accepting new patients
Hand in Hand Rehabilitation, OT, PC Occupational Therapist CurrentSince Sep 22, 2022 Accepting new patients

Locations

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

346 Westbury Ave
Carle Place, NY 11514
Phone (516) 333-1481

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

153 E 87th St
Apt 1A
New York, NY 10128
Phone (212) 360-6460

322 W Main St
Patchogue, NY 11772
Phone 5167458070520

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1891193926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722014",
            "telephone_number": "718-791-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053199",
            "telephone_number": "623-889-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Oak St",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117722883",
            "country_code": "US",
            "telephone_number": "718-791-8950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Hammond Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Cove",
            "state": "NY",
            "postal_code": "115424345",
            "country_code": "US",
            "telephone_number": "917-385-5764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Irving Pl",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115981256",
            "country_code": "US",
            "telephone_number": "718-791-8950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9327 N 3rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202471",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZAL",
        "first_name": "LEAH",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.