Active NPI
Constance S Leventhal
- Developmental Therapist
- Boca Raton, FL
National Provider Identifier
1891996534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 9139 Rutledge Ave
Boca Raton, FL 33434-5910 - Phone
- (914) 715-8253
- NPI assigned
- May 30, 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
9139 Rutledge Ave
Boca Raton, FL 33434-5910
Mailing address
9139 Rutledge Ave
Boca Raton, FL 33434-5910
Phone (914) 715-8253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811971600 | Medicaid | FL |
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": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1891996534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9139 RUTLEDGE AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334345910",
"telephone_number": "914-715-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9139 RUTLEDGE AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334345910",
"telephone_number": "914-715-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENTHAL",
"first_name": "CONSTANCE",
"middle_name": "S",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "811971600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.