Active NPI
Leeanne Escobedo Cottle, PT, DPT
- Physical Therapist
- Fairborn, OH
National Provider Identifier
1063717288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT. 012129
- Practice address
- 2209 Cinnabar PL
Fairborn, OH 45324-6704 - Phone
- (989) 293-8031
- NPI assigned
- Jan 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT. 012129 | OH | Primary |
Addresses
Primary practice location
2209 Cinnabar PL
Fairborn, OH 45324-6704
Mailing address
2209 Cinnabar PL
Fairborn, OH 45324-6704
Other names 1
- Ms. Leeanne Seno Escobedo
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT. 012129 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antelope Valley Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| All Star Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1598770349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1063717288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 CINNABAR PL",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453246704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 CINNABAR PL",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453246704",
"telephone_number": "989-293-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTLE",
"first_name": "LEEANNE",
"middle_name": "ESCOBEDO",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT. 012129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEEANNE",
"last_name": "ESCOBEDO",
"middle_name": "SENO",
"prefix": "MS.",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.