MRS. SAMANTHA ANN LEIBOLD


Address: 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025
Phone: 6309644707

MRS. SAMANTHA ANN LEIBOLD (NPI# 1437203692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437203692
Entity Type Individual
Full Name MRS. SAMANTHA ANN LEIBOLD
Credential MOT OTRL
Practice Address 5201 Walnut Avenue
Ste 4
Downers Grove
IL 60515-4025
Practice Telephone 6309644707
Practice Fax Number 6309644797
Mailing Telephone 6309644707
Mailing Fax Number 6309644797
Enumeration Date 2007-01-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 5201 WALNUT AVENUE
STE 4
City DOWNERS GROVE
State IL
Zip Code 60515-4025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710939236 Deborah K Anderson Physical Therapist 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 2006-05-16
1396936043 Kelly Marie Gamble Occupational Therapist 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 2007-08-07
1649322660 Patricia W Ideran Occupational Therapist 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 2007-01-18
1598817579 Halina E Blaszynski Occupational Therapist 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 2007-01-18
1639221682 Pediatric Rehabilitation Services Clinic/Center 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 2007-01-18
1063564037 Christine Dawn Jurjovec Occupational Therapist 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 2007-01-18
1679625693 Annette Mcmullin Smith Physical Therapist 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 2007-01-18
1922150051 Sandra M Haugh Occupational Therapist 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 2007-01-17
1063564110 Elizabeth J Maruyama Occupational Therapist 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 2007-01-17
1821140955 Elizabeth A Cada Occupational Therapist 5201 Walnut Avenue, Ste 4, Downers Grove, IL 60515-4025 2007-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1679039358 Remedi Seniorcare of Chicago, LLC Pharmacy 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 2019-02-18
1639651094 Ann Marie Olson Occupational Therapy Assistant 3450 Saratoga Ave., Downers Grove, IL 60515 2018-09-02
1598242802 Angela Gathings Nurse Practitioner 1020 31st St, Downers Grove, IL 60515 2018-07-20
1013408194 Amer Shammaa Dentist 1008 Braemoor Dr, Downers Grove, IL 60515 2018-05-23
1174020994 Leslie A Kula-leitner Social Worker Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 2018-04-09
1588176390 Tammy Marie Tunac Counselor 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 2017-11-02
1366976466 Giannasi Mental Health Counselors Counselor 921 Curtiss Street, Downers Grove, IL 60515 2017-04-14
1194258079 Alyssa Stylski Dentist 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 2017-04-06
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700032844 Margaret Mary O'shea Occupational Therapist 5201 Walnut Ave, Ste. 4, Downers Grove, IL 60515-4071 2008-08-08
1912165994 Elizabeth Wanka Occupational Therapist 5201 Walnut Ave Ste 4, Downers Grove, IL 60515-4073 2008-05-27
1689846883 Laura Steigerwald Occupational Therapist 2901 Finley Rd Ste 101, Downers Grove, IL 60515-1394 2008-03-27
1104380112 Ashley Weppner Occupational Therapist 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 2019-01-23
1023593209 Matthew Kent Kilian Occupational Therapist 2901 Finley Rd Ste 101, Downers Grove, IL 60515-1394 2018-10-03
1518462977 Sarah Alter Occupational Therapist 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 2018-03-28
1306106158 Kerry Anne Dornfeld Occupational Therapist 5201 Walnut Ave, Ste 4, Downers Grove, IL 60515-4025 2012-05-25
1407135932 Grace Solik Occupational Therapist 1048 Ogden Ave, Downers Grove, IL 60515-2894 2011-08-15
1235462383 Kimberly Allison Bryze Occupational Therapist 555 31st St, Downers Grove, IL 60515-1235 2009-09-08
1124284666 Susan Hartill Occupational Therapist 1048 Ogden Ave, Suite 130, Downers Grove, IL 60515-2894 2008-08-04
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Competitor

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City DOWNERS GROVE
Zip Code 60515

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Dataset Information

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.

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