Marlise Hernandez Leggett, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034324-1 Issued in NY

Practice address

732 Ford St
Stepping Stones
Ogdensburg, NY 13669-1704

Phone

(315) 393-3074

Fax

(315) 394-7320

NPI assigned

Oct 21, 2011

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 identifiers 1

Other names 1

• Dr. Marlise Hernandez Other 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": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1124304175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 FORD ST",
            "address_2": "STEPPING STONES",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691704",
            "telephone_number": "315-393-3074",
            "fax_number": "315-394-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 FORD ST",
            "address_2": "STEPPING STONES",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691704",
            "telephone_number": "315-393-3074",
            "fax_number": "315-394-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGETT",
        "first_name": "MARLISE",
        "middle_name": "HERNANDEZ",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034324-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PHYSICAL THERAPY LICENSE",
            "identifier": "034324-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLISE",
            "last_name": "HERNANDEZ",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Glasine O Lawson, MD
• Rachel Marie Lawton, RN
• Kayley E Learn
• Christine E. Lebel, NP
• Francis Y Lee, MD
• Kristin Nahanni Leggo, CRC
• Michael Leigh
• Uday Chintamani Lele, M.D.,M.P.H
• Despina Tina Lemon, LMSW
• Katie Elizabeth Lesperance, LCSW

• Physical Therapist in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.