Individual provider Active NPI

Leah Britt Dugal, DPT

  • Physical Therapist
  • Bentonville, AR
National Provider Identifier
1023045242
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2683 Issued in AR
Practice address
1601 Greenhouse Rd
Bentonville, AR 72713-9292
Phone
(479) 795-1260
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2683 AR Primary

Addresses

Primary practice location

1601 Greenhouse Rd
Bentonville, AR 72713-9292

Mailing address

1601 Greenhouse Rd
Bentonville, AR 72712-9292
Phone (479) 795-1260

Other identifiers 2

IdentifierTypeStateIssuer
150150721MedicaidAR
5X534OtherARBLUE CROSS BLUE SHEILD

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

LicenseStateTypeSpecialty
PT2683ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Occupational Therapy Services Physical Therapist Past Accepting new patients
No Limits Pediatric Therapies Physical Therapist Past Accepting new patients
Stinnett & Scarbrough P.a, Physical Therapist PastSince Jan 20, 2000 Accepting new patients

Organizations & group practices 3

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1023045242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 GREENHOUSE RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129292",
            "telephone_number": "479-795-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 GREENHOUSE RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727139292",
            "telephone_number": "479-795-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAL",
        "first_name": "LEAH",
        "middle_name": "BRITT",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150150721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHEILD",
            "identifier": "5X534",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.