LESLIE C ERICKSON (OT) – Occupational Therapist, NPI 1346565298

LESLIE C ERICKSON (OT) is a healthcare provider. based in South bend, Indiana. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 31000509A (IN). The NPI Number for LESLIE C ERICKSON (OT) is 1346565298

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE C ERICKSON (OT)
NPI
1346565298
Phone
(574) 255-8730
Address
3222 MISHAWAKA AVE
Enumeration Date
5 April 2010
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5743276518
Graduation Year
1980 (46 years ago)
PAC ID
5991715740
Group Practice PAC ID
8123117876
Professional Enrollment ID
I20060425000325
Address ID
IN465141168EL3110X20XX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

490 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for LESLIE C ERICKSON (OT)

  • 3222 MISHAWAKA AVE

    SOUTH BEND, IN 466152352

    Phone: (574) 255-8730

    Type: Location

  • 51738 Sagecrest Dr

    Granger, IN 465306887

    Phone: (574) 339-5959

    Type: Location

  • 524 E McKinley Ave Ste 1

    Mishawaka, IN 465456285

    Phone: (574) 255-8730

    Fax: (574) 255-8732

    Type: Location

  • East McKinley Avenue, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    MISHAWAKA, IN 465456285

    Phone: (574) 255-8730

    Fax: (574) 255-8732

    Type: Mailing

  • 51738, Sagecrest Drive, Granger, Saint Joseph County, Indiana, 46530, United States

    GRANGER, IN 465306887

    Phone: (574) 339-5959

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060425000325IOccupational Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6,11580$0
97535Training for self-care or home management, each 15 minutes31728$0
97530Therapy procedure using functional activities25417$0
97166Evaluation for occupational therapy, typically 45 minutes6047$0
97165Evaluation for occupational therapy, typically 30 minutes4137$0
View full utilization report →

Insurance plans in this area (ZIP 46615)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123117876View full group profile
NameSpecialtyState
Qualified Speech Language PathologistIN
-IN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

Is there an official ID for LESLIE C ERICKSON (OT) in U.S. healthcare records?
The official identifier for LESLIE C ERICKSON (OT) is NPI 1346565298.
Would LESLIE C ERICKSON (OT) appear as active to a payer?
You can treat LESLIE C ERICKSON (OT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with LESLIE C ERICKSON (OT)?
LESLIE C ERICKSON (OT)'s record emphasizes Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with LESLIE C ERICKSON (OT)?
Directory geography for LESLIE C ERICKSON (OT) centers on South Bend, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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