Active NPI
Ashley Elizabeth Leacock, PT, DPT
- Physical Therapist
- Hood River, OR
National Provider Identifier
1124615158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 63942
- Practice address
- 1700 12TH St
Hood River, OR 97031-9004 - Phone
- (541) 716-1316
- NPI assigned
- Dec 23, 2020
- 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 | 63942 | OR | Primary |
Addresses
Primary practice location
1700 12TH St
Hood River, OR 97031-9004
Mailing address
1036 Multnomah Rd
Hood River, OR 97031-8703
Phone (425) 647-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3125 Old Fairhaven Pkwy
Suite 103
Bellingham, WA 98225-8266
Phone (360) 715-1152
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63942 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Health Services Inc. | Current | Accepting new patients | |
| Capstone Health Services Inc. | Physical Therapist | Current | Accepting new patients |
| Capstone Health Services Inc. | Physical Therapist | Current | Accepting new patients |
| Columbia Gorge Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
3125 Old Fairhaven Pkwy
Ste 103
Bellingham, WA 98225
Phone (360) 354-1115
8862 Bender Rd
Ste 101
Lynden, WA 98264
Phone (360) 255-7876
Organizations & group practices 4
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.
-
- Physical Therapist
- Lynden, WA
- NPI 1336407956
-
- Physical Therapy Clinic/Center
- Blaine, WA
- NPI 1497171870
-
- Physical Therapist
- Bellingham, WA
- NPI 1831757848
-
- Physical Therapist
- Hood River, OR
- NPI 1073504809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1124615158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 MULTNOMAH RD",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970318703",
"telephone_number": "425-647-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 12TH ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970319004",
"telephone_number": "541-716-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACOCK",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-23",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.