Individual provider Active NPI

Leah Jane Koontz, OTR

  • Occupational Therapist
  • Waynesburg, PA
National Provider Identifier
1922359306
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC012459 Issued in PA
Practice address
160 Greene PLZ
RTS 21 & 79
Waynesburg, PA 15370-8142
Phone
(724) 852-2504
Fax
(724) 852-2547
NPI assigned
Sep 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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 OC012459 PA Primary

Addresses

Primary practice location

160 Greene PLZ
RTS 21 & 79
Waynesburg, PA 15370-8142

Mailing address

625 Lincoln Ave
Suite 107 Professional Plaza
Charleroi, PA 15022-2451
Phone (724) 483-1673

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1922359306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "address_2": "SUITE 107 PROFESSIONAL PLAZA",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-1673",
            "fax_number": "724-483-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GREENE PLZ",
            "address_2": "RTS 21 & 79",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708142",
            "telephone_number": "724-852-2504",
            "fax_number": "724-852-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "LEAH",
        "middle_name": "JANE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.