Active NPI
Heather Leshane, P.T.
- Physical Therapist
- Saint Augustine, FL
National Provider Identifier
1003055732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21647
- Practice address
- 400 Health Park Blvd
Saint Augustine, FL 32086-5784 - Phone
- (904) 819-4374
- Fax
- (904) 819-4958
- NPI assigned
- Feb 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21647 | FL | Primary |
Addresses
Primary practice location
400 Health Park Blvd
Saint Augustine, FL 32086-5784
Mailing address
400 Health Park Blvd
Outpatient Physical Therapy Dept
Saint Augustine, FL 32086-5784
Phone (904) 819-4374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1003055732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HEALTH PARK BLVD",
"address_2": "OUTPATIENT PHYSICAL THERAPY DEPT",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865784",
"telephone_number": "904-819-4374",
"fax_number": "904-819-4958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HEALTH PARK BLVD",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865784",
"telephone_number": "904-819-4374",
"fax_number": "904-819-4958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESHANE",
"first_name": "HEATHER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-19",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.