Active NPI
Marcus A Leach, PT
- Geriatric Physical Therapist
- Columbia, SC
National Provider Identifier
1134929581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 2755
- Practice address
- 2601 Forest Dr
Columbia, SC 29204-2363 - Phone
- (803) 256-4983
- NPI assigned
- Mar 14, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2755 | SC | Primary |
Addresses
Primary practice location
2601 Forest Dr
Columbia, SC 29204-2363
Mailing address
108 Leamington Way
Irmo, SC 29063-8258
Phone (803) 960-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
872 Singleton Ridge Rd
Conway, SC 29526-1101
Phone (610) 438-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group of South Carolina Inc | Current | Accepting new patients |
Locations
872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050
Organizations & group practices 1
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
- Bluffton, SC
- NPI 1073957064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1134929581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 LEAMINGTON WAY",
"city": "IRMO",
"state": "SC",
"postal_code": "290638258",
"telephone_number": "803-960-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 FOREST DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042363",
"telephone_number": "803-256-4983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "MARCUS",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-14",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "SC",
"license": "2755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.