Leslie M Youngblood, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1737 Issued in AL

Practice address

4517 Southlake Pkwy
Birmingham, AL 35244-3280

Phone

(205) 985-4111

Fax

(205) 985-4326

NPI assigned

Jun 15, 2006

Last updated

May 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leslie Shannon McCord Former name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Orthopaedic Alliance PLLCGroup PAC ID 2365800604, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern Orthopaedic Alliance, PLLC

  • Orthopaedic Surgery Physician
  • Mobile, AL
  • NPI 1588364228
  Medicare reassignment Care Compare group NPD
• Southlake Orthopaedics Sports Medicine & Spine Center PC

  dba Southlake Orthopaedics

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1043268402
  Medicare reassignment
• Southern Orthopaedic Alliance PLLC

  • Durable Medical Equipment & Medical Supplies
  • Brewton, AL
  • NPI 1093561896
  NPD
• Orthopaedic Specialists of Alabama PC

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1831133586
  NPD (past)
• Orthopaedic Specialists of Alabama, PC

  • Orthopaedic Surgery Physician
  • Talladega, AL
  • NPI 1275843492
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1902840655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "LESLIE",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "1737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51528045",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MCCORD",
            "middle_name": "SHANNON",
            "credential": "O T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Young, CRNP
• Serenity Young, L.G.S.W.
• Willie L. Young, R.N.
• Caroline Blake Ellenburg Youngblood, CRNP
• Garland G Youngblood, M.D.
• Margaret Cecile Youngblood
• Emily Youngman
• Your Counselor's Corner, LLC
• Ali Khurshid Yousuf, DO
• Youth 1St Services (Fairfield Mighty Tigers Youth Organization)

• Occupational Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.