Active NPI
Leslie A Smith, OT
- Occupational Therapist
- Norcross, GA
National Provider Identifier
1952608747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 109747
- Practice address
- 3000 Northwoods Pkwy
Suite 105
Norcross, GA 30071-4708 - Phone
- (866) 518-1750
- Fax
- (866) 600-4001
- NPI assigned
- Feb 15, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 109747 | TX | Primary |
Addresses
Primary practice location
3000 Northwoods Pkwy
Suite 105
Norcross, GA 30071-4708
Mailing address
3000 Northwoods Pkwy
Suite 105
Norcross, GA 30071-4708
Phone (866) 518-1750
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
| License | State | Type | Specialty |
|---|---|---|---|
| 109747 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Rehabilitation, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Austin, TX
- NPI 1891915369
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1952608747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 NORTHWOODS PKWY",
"address_2": "SUITE 105",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714708",
"telephone_number": "866-518-1750",
"fax_number": "866-600-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NORTHWOODS PKWY",
"address_2": "SUITE 105",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714708",
"telephone_number": "866-518-1750",
"fax_number": "866-600-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LESLIE",
"middle_name": "A",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.