LEA'S PLACE LLC (NPI# 1649890633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649890633 |
| Entity Type | Organization |
| Organization Name | LEA'S PLACE LLC |
| Practice Address |
6202 Gist Ave Baltimore MD 21215-3608 |
| Practice Telephone | 4102928725 |
| Mailing Telephone | 4102928725 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | MS. LEA STERNBACH (DIRECTOR/OWNER) |
| Authorized Official Telephone | 4102929825 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MBOTP (MARYLAND BOARD OF OCCUPATIONAL THERAPY PRACTICE | 07832 | 01 |
| Street Address |
6202 GIST AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013339951 | Kristen Lindeman Shifflett | Occupational Therapist | 600 N. Wolfe Street Wilmer 317, Johns Hopkins Eye Institute Low Vision Service, Baltimore, MD 21287 | 2014-01-13 |
| 1154589752 | Rachel Virginia Johnson | Occupational Therapist | 3707 Centre Pl, Baltimore, MD 21224-2409 | 2008-05-30 |
| 1720462518 | Brian P Johnson | Occupational Therapist | 707 N Broadway, Baltimore, MD 21205-1832 | 2015-07-12 |
| 1518283829 | Celestia Young | Occupational Therapist | 719 Maiden Choice Ln, Baltimore, MD 21228-6138 | 2010-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346631777 | Jamie Sandbank | Occupational Therapist | 3616 Horned Owl Ct, Ellicott City, MD 21042-3743 | 2015-02-06 |
| 1447771431 | Mid-atlantic Brain & Neurological Rehabilitation, Inc. | Occupational Therapist | 1400 Forest Glen Rd Ste 225, Silver Spring, MD 20910-1459 | 2017-06-29 |
| 1275070609 | Stacey A Harcum | Occupational Therapist | 2200 Kernan Dr, Gwynn Oak, MD 21207-6665 | 2017-01-24 |
| 1346588829 | Pamela Jean O' Baker | Occupational Therapist | 1 Kaylor Cir, Frostburg, MD 21532-2009 | 2013-01-17 |
| 1902140759 | Leeann Janaskie | Occupational Therapist | 187 Thomas Johnson Dr, Suite 6, Frederick, MD 21702-4503 | 2012-11-18 |
| 1851574982 | Leslie Ellen Gray | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2007-12-12 |
| 1902020712 | Tara Lee Grimes | Occupational Therapist | 626 Trail Ave, Frederick, MD 21701-4934 | 2007-04-12 |
| 1922149814 | Annette Lynn Lavezza | Occupational Therapist | 10753 Falls Rd, Suite 235, Lutherville, MD 21093-4535 | 2007-02-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.