Active NPI
Stephanie Leaf, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1104011501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024593
- Practice address
- 39 W 14TH St
Ste 207
New York, NY 10011-7406 - Phone
- (646) 919-0959
- Fax
- (212) 423-3355
- NPI assigned
- Sep 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 024593 | NY | Primary |
Addresses
Primary practice location
39 W 14TH St
Ste 207
New York, NY 10011-7406
Mailing address
39 W 14TH St
Ste 207
New York, NY 10011-7406
Phone (646) 919-0959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090429000205 | NY | Practitioner - Physical Therapist in Private Practice | 4880742964 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Buffalo School of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
39 W 14TH St
Suite 207
New York, NY 10011-7406
Phone (646) 919-0959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024593 | NY | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1104011501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 W 14TH ST",
"address_2": "STE 207",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117406",
"telephone_number": "646-919-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 W 14TH ST",
"address_2": "STE 207",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117406",
"telephone_number": "646-919-0959",
"fax_number": "212-423-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAF",
"first_name": "STEPHANIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-09",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.