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

Leslie Kruse

Individual provider Occupational Therapist · NPI 1700531639

Leslie Kruse is an Occupational Therapist in Private Practice in Massillon, Ohio. Qualified in 2020, 6 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2022
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Practice location Address checks out

4583 Andette Ave NW
Massillon, OH 44647-1201
Phone: (216) 973-4577
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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 011319 (OH)

Record details

NPI number1700531639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 18, 2022
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 16, 2022
Mailing address4583 Andette Ave Nw, Massillon, OH 44647-1201

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Massillon