Leanne E Parks, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010048 Issued in GA

Practice address

4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265

Phone

(307) 265-7205

Fax

(307) 235-6262

NPI assigned

Nov 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Physical Therapy PCGroup PAC ID 0648171462, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proactive Physical Therapy PC

  • Physical Therapist
  • Pinedale, WY
  • NPI 1184814345
  Medicare reassignment Care Compare group NPD
• Wind City Physical Therapy

  • Physical Therapist
  • Casper, WY
  • NPI 1093767121
  Medicare reassignment NPD
• Wind City Physical Therapy

  • Physical Therapist
  • Casper, WY
  • NPI 1114501954
  NPD

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1053592154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "LEANNE",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011967",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal L Paredes, M.S., LPC
• Park Place Assisted Living LLC
• Park Ridge Behavioral Healthcare, LLC
• Zackery Gilberto-Eagle Parkhurst
• Amanda M Parks, FNP-C
• Cynthia Ann Parrish, LPC
• Tracie Jean Parsell, FNP
• Anna C. Parton, NP
• Ronald Keith Parton, R.PH.
• Jaci Patchen

• Physical Therapist in Casper, WY
• Providers in Casper, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.