Active NPI
Joan C Leonard
- Occupational Therapist
- Collingswood, NJ
National Provider Identifier
1962419192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00166400
- Practice address
- 759 Haddon Ave
Collingswood, NJ 08108 - Phone
- (856) 858-4545
- Fax
- (856) 858-3235
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 46TR00166400 | NJ | Primary |
Addresses
Primary practice location
759 Haddon Ave
Collingswood, NJ 08108
Mailing address
759 Haddon Ave
Collingswood, NJ 08108
Phone (856) 858-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
759 Haddon Ave
Collingswood, NJ 08108-3714
Phone (609) 858-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00166400 | NJ | MD | Occupational Therapist |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Collingswood, NJ
- NPI 1811365141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1962419192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 HADDON AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "08108",
"telephone_number": "856-858-4545",
"fax_number": "856-858-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 HADDON AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "08108",
"telephone_number": "856-858-4545",
"fax_number": "856-858-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "JOAN",
"middle_name": "C",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00166400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collingswood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.