Individual provider Active NPI

Leeann Marie Price, PT

  • Physical Therapist
  • Dublin, CA
National Provider Identifier
1063683738
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34053 Issued in CA
Practice address
7080 Donlon Way
Ste. 108
Dublin, CA 94568-2787
Phone
(925) 556-4310
Fax
(925) 556-0375
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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 PT34053 CA Primary

Addresses

Primary practice location

7080 Donlon Way
Ste. 108
Dublin, CA 94568-2787

Mailing address

7080 Donlon Way
Ste. 108
Dublin, CA 94568-2787
Phone (925) 556-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080702000532 CA Practitioner - Physical Therapist in Private Practice 4284706433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7080 Donlon Way
Suite 108
Dublin, CA 94568-2788
Phone (925) 556-4310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34053CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Edge PT, Inc. CurrentSince Jun 3, 2020 Accepting new patients

Locations

7080 Donlon Way
Ste 108
Dublin, CA 94568
Phone (925) 556-4310

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": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1063683738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 DONLON WAY",
            "address_2": "STE. 108",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682787",
            "telephone_number": "925-556-4310",
            "fax_number": "925-556-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 DONLON WAY",
            "address_2": "STE. 108",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682787",
            "telephone_number": "925-556-4310",
            "fax_number": "925-556-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "LEEANN",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.