Mary Therese Leppert, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003658 Issued in GA

Practice address

78 Dawson Village Way N Ste 230
Dawsonville, GA 30534-5642

Phone

(706) 265-3575

Fax

(706) 344-1207

NPI assigned

Aug 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Therese Vonderharr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1114409703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 DAWSON VILLAGE WAY N STE 230",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305345642",
            "telephone_number": "706-265-3575",
            "fax_number": "706-344-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPERT",
        "first_name": "MARY",
        "middle_name": "THERESE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "VONDERHARR",
            "middle_name": "THERESE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lawrence F. Kulish PC
• Tammie G Lee, M.D.
• Legacy Healthcare Services, Inc.
• Stephen Vincent Leo, OTR, CHT
• Ashley Leonard, CD
• Maria Alejandra Lerma, P.A.
• Jesse Lewallen
• Andrea Nicole Lewis, PHARMD
• Jennifer Brackett Lewis, P.T., A.T.,C.
• Thomas Bruce Lewis, PTA

• Physical Therapist in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.