Active NPI
Leslie Weaver, OT
- Occupational Therapist
- Milford, CT
National Provider Identifier
1972665008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 000716
- Practice address
- 680 Boston Post Rd
Milford, CT 06460-2684 - Phone
- (203) 783-1997
- Fax
- (203) 783-3997
- NPI assigned
- Dec 14, 2006
- 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 | 000716 | CT | Primary |
Addresses
Primary practice location
680 Boston Post Rd
Milford, CT 06460-2684
Mailing address
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
Other names 1
- Leslie Kresen
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 |
|---|---|---|---|
| 000716 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Associates Inc. | Past | Accepting new patients | |
| Rehabilitation Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Shelton, CT
- NPI 1114184157
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fairfield, CT
- NPI 1659347300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1972665008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253506",
"telephone_number": "203-384-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 BOSTON POST RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064602684",
"telephone_number": "203-783-1997",
"fax_number": "203-783-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "LESLIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "000716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "KRESEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.