Individual provider Active NPI

Steven Henry Leifheit, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Seattle, WA
National Provider Identifier
1023070018
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
000799 Issued in WA
Practice address
4746 44TH Ave SW
Suite 204
Seattle, WA 98116-4477
Phone
(206) 935-2722
Fax
(206) 935-3984
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 000799 WA Primary

Addresses

Primary practice location

4746 44TH Ave SW
Suite 204
Seattle, WA 98116-4477

Mailing address

PO Box 58009
Renton, WA 98058-1009
Phone (425) 235-4181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000848 WA Practitioner - Osteopathic Manipulative MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - General Practice 0042103525 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: General Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4746 44TH Ave SW
Seattle, WA 98116-4476
Phone (206) 935-2722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
000799WAMDNeuromusculoskeletal Medicine & OMM Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1023070018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58009",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980581009",
            "telephone_number": "425-235-4181",
            "fax_number": "425-277-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 44TH AVE SW",
            "address_2": "SUITE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164477",
            "telephone_number": "206-935-2722",
            "fax_number": "206-935-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFHEIT",
        "first_name": "STEVEN",
        "middle_name": "HENRY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WA",
            "license": "000799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.