Individual provider Active NPI

Leanne Kathryn Depa, OTR

  • Occupational Therapist
  • Riverview, FL
National Provider Identifier
1902948300
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3415 Issued in FL
Practice address
9601 Sunnyoak Dr
Riverview, FL 33569-5635
Phone
(813) 870-0000
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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 OT3415 FL Primary

Addresses

Primary practice location

9601 Sunnyoak Dr
Riverview, FL 33569-5635

Mailing address

9601 Sunnyoak Dr
Riverview, FL 33569-5635
Phone (813) 672-3272

Other identifiers 1

IdentifierTypeStateIssuer
884097100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910000457 FL Practitioner - Occupational Therapist in Private Practice 6608379482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2003 Coney Island Ave
Brooklyn, NY 11223-2328

9601 Sunnyoak Dr
Riverview, FL 33569-5635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Therapy Services and Medicine Inc Occupational Therapist CurrentSince Aug 1, 2025 Accepting new patients
Diy Chronic Pain Solutions Occupational Therapist CurrentSince Oct 31, 2021 Accepting new patients
Lil Sprouts Pediatric Therapy Services LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1902948300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 SUNNYOAK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695635",
            "telephone_number": "813-672-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 SUNNYOAK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695635",
            "telephone_number": "813-870-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPA",
        "first_name": "LEANNE",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT3415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884097100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.