Individual provider Active NPI

Carol A Leashefski, OTR/L

  • Occupational Therapist
  • Wyomissing, PA
National Provider Identifier
1952597007
Registry record updated Sep 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC002424L Issued in PA
Practice address
153 Lucinda LN
Wyomissing, PA 19610-1026
Phone
(610) 670-5209
Fax
(610) 927-9706
NPI assigned
Sep 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2007

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 OC002424L PA Primary

Addresses

Primary practice location

153 Lucinda LN
Wyomissing, PA 19610-1026

Mailing address

153 Lucinda LN
Wyomissing, PA 19610-1026
Phone (610) 670-5209

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

LicenseStateTypeSpecialty
OC002424LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190419200000",
    "number": "1952597007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 LUCINDA LN",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101026",
            "telephone_number": "610-670-5209",
            "fax_number": "610-927-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 LUCINDA LN",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101026",
            "telephone_number": "610-670-5209",
            "fax_number": "610-927-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEASHEFSKI",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-22",
        "last_updated": "2007-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC002424L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.