LESLIE M YOUNGBLOOD (NPI# 1902840655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902840655 |
| Entity Type | Individual |
| Full Name | LESLIE M YOUNGBLOOD |
| Other Name | LESLIE SHANNON MCCORD |
| Credential | OCCU THERAPIST |
| Practice Address |
4517 Southlake Pkwy Birmingham AL 35244-3280 |
| Practice Telephone | 2059854111 |
| Practice Fax Number | 2059854326 |
| Mailing Telephone | 2059854111 |
| Mailing Fax Number | 2059854326 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1737 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS | 51528045 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306997853 | Leslie D. Youngblood | Physician Assistant | 125 16th Ave E, Seattle, WA 98112-5211 | 2007-01-12 |
| Street Address |
4517 SOUTHLAKE PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35244-3280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700154184 | Select Physical Therapy Holdings Inc | Clinic/Center | 4517 Southlake Pkwy, Birmingham, AL 35244-3280 | 2011-12-13 |
| 1760692834 | George Robert Booker | Orthopaedic Surgery | 4517 Southlake Pkwy, Birmingham, AL 35244-3280 | 2007-05-23 |
| 1457453052 | Andrea Moore Jost | Physician Assistant | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-09-02 |
| 1245340108 | Jason P Greer | Physical Therapist | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-08-30 |
| 1780639492 | William Krauss | Specialist | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-05-23 |
| 1821047259 | William S Craig Iv | Physical Medicine & Rehabilitation | 4517 Southlake Pkwy, Birmingham, AL 35244-3280 | 2006-05-10 |
| 1518915016 | Michael Frances Blum | Specialist | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-05-05 |
| 1629026158 | Charlie Joe Talbert I | Specialist | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-05-05 |
| 1437107984 | Michael T Ellerbusch | Specialist | 4517 Southlake Pkwy, Suite 202, Birmingham, AL 35244-3280 | 2006-05-05 |
| 1043268402 | Southlake Orthopaedics Sports Medicine & Spine Center PC | Specialist | 4517 Southlake Pkwy, Birmingham, AL 35244-3280 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672134 | Tehrea Burpo | Occupational Therapist | 316 63rd St S, Birmingham, AL 35212-2718 | 2019-07-29 |
| 1659931251 | Dayna Leighann Wargo | Occupational Therapist | 2400 E Lincoln St, Birmingham, MI 48009-7102 | 2019-06-17 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1245701101 | James Edward Murrell | Occupational Therapist | 2010 Brookwood Medical Ctr Dr Fl 3, Birmingham, AL 35209-6804 | 2018-12-17 |
| 1851868715 | Melinda Richards Decker | Occupational Therapist | 2124 4th Ave S Ste 210, Birmingham, AL 35233-2204 | 2018-10-30 |
| 1932619780 | Lyndsey W Baxley | Occupational Therapist | 700 Century Park South, Suite 128, Birmingham, AL 35226 | 2017-10-06 |
| 1073975801 | Robert Barranco | Occupational Therapist | 540 Esplanade Dr, Birmingham, AL 35206-1611 | 2016-03-22 |
| 1871952564 | Greta Levins | Occupational Therapist | 2472 Oneal Way, Birmingham, AL 35242-4656 | 2016-02-23 |
| 1720484710 | Benchmark Physical Therapy of Alabama, LLC | Occupational Therapist | 4704 Cahaba River Rd Ste J2, Birmingham, AL 35243-2366 | 2014-11-18 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35244 |
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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.