Leslie Mischelle Birge, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

KY-A3119 Issued in KY

Practice address

113 Millersburg Branch Rd
Glasgow, KY 42141-8877

Phone

(270) 646-3307

NPI assigned

Sep 27, 2007

Last updated

Sep 27, 2007By the provider in NPPES

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

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": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1992992499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MILLERSBURG BRANCH RD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421418877",
            "telephone_number": "270-646-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MILLERSBURG BRANCH RD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421418877",
            "telephone_number": "270-646-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRGE",
        "first_name": "LESLIE",
        "middle_name": "MISCHELLE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "KY-A3119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Renee Bennett, LPCC
• Rodney Bentley
• Bethesda Wellness & Recovery LLC
• Better Hearing Centers of Glasgow, Ky, Inc.
• Bio-Medical Applications of Kentucky, Inc. (Fresenius Medical Care Glasgow)
• Ashley Garrett Biven, APRN
• Lana Blaine, MHA
• Jessica Lynn Blair, LPCC
• Madeline Rose Blair
• Monica T Bledsoe, LPCC

• Occupational Therapy Assistant in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.