Active NPI
Leah Moore Graham, MOT
- Occupational Therapist
- Meridian, MS
National Provider Identifier
1992290480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3536
- Practice address
- 2606 N Hills St
Meridian, MS 39305-2639 - Phone
- (601) 490-9442
- NPI assigned
- Jun 27, 2018
- 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 | OT3536 | MS | Primary |
Addresses
Primary practice location
2606 N Hills St
Meridian, MS 39305-2639
Mailing address
199 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (662) 327-6705
Other practice location 1
950 E County Line Rd Ste E
Ridgeland, MS 39157-1928
Phone (601) 853-9747
Other names 1
- Leah Virginia Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3536 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | 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.
-
- Physical Therapist
- Louisville, MS
- NPI 1952732448
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1992290480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 N BROOKMOORE DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052024",
"telephone_number": "662-327-6705",
"fax_number": "662-327-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2606 N HILLS ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393052639",
"telephone_number": "601-490-9442"
}
],
"practiceLocations": [
{
"address_1": "950 E County Line Rd Ste E",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "MS",
"postal_code": "391571928",
"country_code": "US",
"telephone_number": "601-853-9747",
"fax_number": "601-898-4761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "LEAH",
"middle_name": "MOORE",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT3536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEAH",
"last_name": "MOORE",
"middle_name": "VIRGINIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.