| Lara Nicole Leventhal, OT | |
|
20320 Northwest Fwy Ste 400a, Jersey Village, TX 77065-5620 | |
| (725) 209-3053 | |
| (855) 927-7788 |
| Full Name | Lara Nicole Leventhal |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 20320 Northwest Fwy Ste 400a, Jersey Village, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417644451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 15279 (California) | Secondary |
| 225X00000X | Occupational Therapist | 124309 (Texas) | Primary |
| Provider Name | Telehealth Clinical Evals, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346868387 PECOS PAC ID: 2860816725 Enrollment ID: O20200826003870 |
| Provider Name | Wheelchair Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265904064 PECOS PAC ID: 0941613590 Enrollment ID: O20230303001496 |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Nicole Leventhal, OT 10680 Medlock Bridge Rd Ste 101, Johns Creek, GA 30097-8420 Ph: (725) 209-3053 | Lara Nicole Leventhal, OT 20320 Northwest Fwy Ste 400a, Jersey Village, TX 77065-5620 Ph: (725) 209-3053 |
Colene Ripley, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 17360 Northwest Fwy, Jersey Village, TX 77040 Phone: 713-849-2253 | |
Sirley Ediae, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20320 Northwest Fwy Ste 400a, Jersey Village, TX 77065 Phone: 725-209-3053 Fax: 855-927-7788 | |
Mrs. Caitlin Marie Johnston, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 17360 Northwest Fwy Ste A, Jersey Village, TX 77040 Phone: 713-849-2253 | |
Haley Guillot Mcdougal, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 17360 Northwest Fwy, Jersey Village, TX 77040 Phone: 225-505-8247 | |
Madison Mitchell, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16000 Dillard Dr Ste 2b, Jersey Village, TX 77040 Phone: 281-410-1980 | |
Darlene Ruben, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16000 Dillard Dr Ste 2b, Jersey Village, TX 77040 Phone: 281-410-1980 |