Active NPI
Courtney Roush Leachman, MOTRL
- Occupational Therapist
- Ravenswood, WV
National Provider Identifier
1891811436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1260
- Practice address
- 200 S Ritchie Ave
Ravenswood, WV 26164-1721 - Phone
- (304) 273-9385
- NPI assigned
- Mar 22, 2007
- Last updated
- Jul 8, 2007
- 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 | 1260 | WV | Primary |
Addresses
Primary practice location
200 S Ritchie Ave
Ravenswood, WV 26164-1721
Mailing address
23883 Rowe Rd
Racine, OH 45771-9731
Phone (740) 247-2324
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 |
|---|---|---|---|
| 1260 | WV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891811436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23883 ROWE RD",
"city": "RACINE",
"state": "OH",
"postal_code": "457719731",
"telephone_number": "740-247-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S RITCHIE AVE",
"city": "RAVENSWOOD",
"state": "WV",
"postal_code": "261641721",
"telephone_number": "304-273-9385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACHMAN",
"first_name": "COURTNEY",
"middle_name": "ROUSH",
"credential": "MOTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ravenswood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.