Individual provider Active NPI

Kenneth Scott Leaman, D.P.T.

  • Orthopedic Physical Therapist
  • Quincy, MA
National Provider Identifier
1023242880
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
18637 Issued in MA
Practice address
618 Washington St
Quincy, MA 02169-7335
Phone
(617) 847-0066
Fax
(617) 847-0908
NPI assigned
May 8, 2009
Last updated
May 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 18637 MA Primary

Addresses

Primary practice location

618 Washington St
Quincy, MA 02169-7335

Mailing address

50 Donna Dr
Plymouth, MA 02360-1628
Phone (617) 835-7283

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
18637MAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1023242880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DONNA DR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023601628",
            "telephone_number": "617-835-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697335",
            "telephone_number": "617-847-0066",
            "fax_number": "617-847-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAMAN",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "18637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.