Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leonardo Elizalde, OTR

Individual provider Occupational Therapist · NPI 1003246976

Leonardo Elizalde, OTR is an Occupational Therapist in Private Practice in Bronx, New York. Qualified in 1995, 31 years ago. Practices with Theradynamics Rehab PT, OT and SLP, PLLC, a 63-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2013
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

817 E 180th St
Bronx, NY 10460-1305
Phone: (718) 355-9652
Fax: (718) 220-6263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 018328 (NY)

Record details

NPI number1003246976
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedNovember 13, 2013
Last updated in NPPESAugust 6, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Theradynamics Rehab Pt, Ot And Slp, Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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