LESLIE E PULLIAM (NPI# 1790980290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790980290 |
| Entity Type | Individual |
| Full Name | LESLIE E PULLIAM |
| Credential | OTR |
| Practice Address |
4219 S Western Ave Oklahoma City OK 73109-3410 |
| Mailing Address |
9129 Pepperdine Midwest City OK 73130-6248 |
| Practice Telephone | 4056445289 |
| Mailing Telephone | 4054555312 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
1100 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4219 S WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265490460 | David Brent Tipton | Physical Medicine & Rehabilitation | 4219 S Western Ave, Oklahoma City, OK 73109-3410 | 2006-05-04 |
| 1770116154 | Taylor Frost | Physical Medicine & Rehabilitation | 4219 S Western Ave, Oklahoma City, OK 73109-3410 | 2020-02-13 |
| 1780166447 | Ruby K Thomas | Occupational Therapist | 4219 S Western Ave, Oklahoma City, OK 73109 | 2018-08-29 |
| 1811406523 | Victoria Allison Friesen | Counselor | 4219 S Western Ave, Oklahoma City, OK 73109-3410 | 2017-09-26 |
| 1538480330 | Tara Watson | Physician Assistant | 4219 S Western Ave, Oklahoma City, OK 73109-3410 | 2010-06-15 |
| 1447578950 | Chelsee Maryssa Truesdell | Physical Therapist | 4219 S Western Ave, Oklahoma City, OK 73109-3410 | 2010-05-07 |
| 1528382553 | Kimberly Ann Horn | Physician Assistant | 4219 S Western Ave, Oklahoma City, OK 73109-3410 | 2010-03-19 |
| 1154569390 | Josephine Gimple | Physical Therapist | 4219 S Western Ave, Oklahoma City, OK 73109-3410 | 2009-01-26 |
| 1700097185 | Olivia Ann Feagins | Physical Therapist | 4219 S Western Ave, Oklahoma City, OK 73109-3410 | 2007-05-25 |
| 1598975245 | Kellli Holmes | Physical Therapist | 4219 S Western Ave, Oklahoma City, OK 73109-3410 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223325 | Taylor Beth Conaway | Occupational Therapist | 401 S 3rd St, Enid, OK 73701-5737 | 2020-07-22 |
| 1104994482 | Patricia O. Braught Hull | Occupational Therapist | 1501 Clayton Ave, Poteau, OK 74953-4102 | 2006-12-02 |
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
Please comment or provide details below to improve the information on LESLIE E PULLIAM.
| 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.