JACQUELINE LEON (NPI# 1275017675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275017675 |
| Entity Type | Individual |
| Full Name | JACQUELINE LEON |
| Practice Address |
2130 Anderson Mill Rd Austell GA 30106-1806 |
| Mailing Address |
2981 Hollow Ln Powder Springs GA 30127-1864 |
| Practice Telephone | 7709418813 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA002300 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979393 | Jacqueline Leon | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2020-07-17 |
| 1346751278 | Jacqueline Leon | Counselor | 1540 Texas St, Natchitoches, LA 71457-3433 | 2017-10-18 |
| 1629398490 | Jacqueline Leon | Pediatrics | 4870 Barranca Pkwy, Suite 300, Irvine, CA 92604-4709 | 2010-06-03 |
| Street Address |
2130 ANDERSON MILL RD |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942321690 | Ssc Austell Operating Company LLC | Skilled Nursing Facility | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2007-04-02 |
| 1275182412 | Oronde Parker | Occupational Therapy Assistant | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2019-09-10 |
| 1033768841 | Steven C Gammon | Physical Therapy Assistant | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2019-09-05 |
| 1629552765 | Roxanne Alecia George | Physical Therapist | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2018-09-24 |
| 1316421738 | Michelle Arrington-myers | Occupational Therapy Assistant | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2018-09-21 |
| 1528542925 | Joyce Nibaten Balawon | Physical Therapist | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2018-09-20 |
| 1972087443 | Quinton Scott | Physical Therapist | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2018-09-20 |
| 1124502679 | Sophia Antonia Blue | Physical Therapy Assistant | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2018-09-20 |
| 1588148167 | Melchor Capuyan Gomeyac | Occupational Therapist | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2018-09-20 |
| 1518441070 | Marion Gomeyac | Physical Therapist | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2018-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578044566 | Venice Rosanne Fisher | Occupational Therapy Assistant | 4192 Lotus Blossom Ct, Austell, GA 30106-1082 | 2018-08-27 |
| 1275182412 | Oronde Parker | Occupational Therapy Assistant | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2019-09-10 |
| 1447811302 | Sylvia Joyce Naughton | Occupational Therapy Assistant | 2000 E West Connector, Austell, GA 30106-1194 | 2019-06-21 |
| 1225500325 | Christine Theresa Cesta | Occupational Therapy Assistant | 2000 E West Connector, Austell, GA 30106-1194 | 2018-12-30 |
| 1548732621 | Lily Loretta Stevens | Occupational Therapy Assistant | 2000 E West Connector, Austell, GA 30106-1194 | 2018-12-29 |
| 1316421738 | Michelle Arrington-myers | Occupational Therapy Assistant | 2130 Anderson Mill Rd, Austell, GA 30106-1806 | 2018-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403282 | Kaitlyn Breese Swain | Occupational Therapy Assistant | 3713 Tarva Rd, Albany, GA 31721-8687 | 2020-09-29 |
| 1306451414 | Yvonne G Forbes | Occupational Therapy Assistant | 3412 Conley Downs Dr, Powder Springs, GA 30127-1199 | 2020-09-15 |
| 1396356614 | Chukwuma Jordan Okafor | Occupational Therapy Assistant | 3201 Windcliff Dr Se, Marietta, GA 30067-3814 | 2020-08-11 |
| 1861018913 | Lavina Michelle Andrews | Occupational Therapy Assistant | 288 Osceola Trl N, Jesup, GA 31545-4853 | 2020-06-24 |
| 1386285153 | Rww Outpatient Rehab Services, LLC | Occupational Therapy Assistant | 1860 Atkinson Rd Ste 100, Lawrenceville, GA 30043-5065 | 2019-10-03 |
| 1356998769 | Jaclyn Renee Mason | Occupational Therapy Assistant | 609 Lake Vista Dr, Jefferson, GA 30549-4606 | 2019-08-20 |
| 1326692658 | Jacqueline Renee Rhem | Occupational Therapy Assistant | 1012 Enota Ave Ne, Gainesville, GA 30501-1802 | 2019-07-25 |
| 1437719713 | Tommy Tanner | Occupational Therapy Assistant | 3018 Spicewood Dr, Augusta, GA 30909-6489 | 2019-06-18 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1508424458 | Misty Myrick Copeland | Occupational Therapy Assistant | 318 Keen Rd, Summerville, GA 30747-6379 | 2019-06-04 |
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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.