Provider Demographics
NPI:1326148214
Name:LEADLEY, RUTH ELIZABETH (OTR/CHT)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ELIZABETH
Last Name:LEADLEY
Suffix:
Gender:F
Credentials:OTR/CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 NOTT ST
Mailing Address - Street 2:SUITE 105A
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2589
Mailing Address - Country:US
Mailing Address - Phone:518-377-9227
Mailing Address - Fax:518-377-2839
Practice Address - Street 1:1201 NOTT ST
Practice Address - Street 2:SUITE 105A
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2589
Practice Address - Country:US
Practice Address - Phone:518-377-9227
Practice Address - Fax:518-377-2839
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002636-1225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA0664Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID NUMB