Healthcare Provider Details

I. General information

NPI: 1922962364
Provider Name (Legal Business Name): LEO FRANCIS READEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 HIGH ST
WORTHINGTON OH
43085-4057
US

IV. Provider business mailing address

1368 ARLINGTON AVE
COLUMBUS OH
43212-3201
US

V. Phone/Fax

Practice location:
  • Phone: 614-784-0400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT013553
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: