Active NPI
Pamela Andrea Leduc, P.T.
- Orthopedic Physical Therapist
- Penn Valley, CA
National Provider Identifier
1023034352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT13261
- Practice address
- 11392 Pleasant Valley Rd
Penn Valley, CA 95946-9001 - Phone
- (530) 432-9660
- Fax
- (530) 432-9663
- NPI assigned
- Jul 13, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT13261 | CA | Primary |
Addresses
Primary practice location
11392 Pleasant Valley Rd
Penn Valley, CA 95946-9001
Mailing address
11392 Pleasant Valley Rd
Penn Valley, CA 95946-9001
Phone (530) 432-9660
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13261 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Edge Physical Therapy Inc | Orthopedic | Current | Accepting new patients |
Locations
11392 Pleasant Valley Rd
Penn Valley, CA 95946
Phone (530) 432-9660
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023034352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11392 PLEASANT VALLEY RD",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959469001",
"telephone_number": "530-432-9660",
"fax_number": "530-432-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11392 PLEASANT VALLEY RD",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959469001",
"telephone_number": "530-432-9660",
"fax_number": "530-432-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDUC",
"first_name": "PAMELA",
"middle_name": "ANDREA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT13261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penn Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.