Active NPI
Justine Marie Leftwich, OTR/L
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1982115952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118271
- Practice address
- 6906 Heuermann Rd
San Antonio, TX 78256-2619 - Phone
- (210) 947-7000
- NPI assigned
- Oct 18, 2017
- 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 | 118271 | TX | Primary |
Addresses
Primary practice location
6906 Heuermann Rd
San Antonio, TX 78256-2619
Mailing address
6906 Heuermann Rd
San Antonio, TX 78256-2619
Phone (210) 947-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Medicaid | TX |
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 |
|---|---|---|---|
| 118271 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982115952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6906 HEUERMANN RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782562619",
"telephone_number": "210-947-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6906 HEUERMANN RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782562619",
"telephone_number": "210-947-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFTWICH",
"first_name": "JUSTINE",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.