Patsy Penman Leach

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0119000736 Issued in VA

Practice address

226 Maple Avenue West, Suite 202
Suite 202
Vienna, VA 22180-4737

Phone

(703) 242-2202

Fax

(703) 242-2206

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1962585703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MAPLE AVENUE WEST, SUITE 202",
            "address_2": "SUITE 202",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804737",
            "telephone_number": "703-242-2202",
            "fax_number": "703-242-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MAPLE AVENUE WEST, SUITE 202",
            "address_2": "SUITE 202",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804737",
            "telephone_number": "703-242-2202",
            "fax_number": "703-242-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "PATSY",
        "middle_name": "PENMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119000736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "192718",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PROVIDER NUMBER",
            "identifier": "372912",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phu Le, DDS
• Phuong Le
• Quan Van Le, D.D.S.
• Trang Thuy Le, D.D.S.
• Viet Le, D.C.
• Lee a. Bazzarone, DC Inc.
• Tatyana Lee-Williams
• Brian Kwangsuk Lee, DMD
• Christal Lee, PHARM.D.
• David Daehun Lee

• Pediatric Occupational Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Pediatric Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.