Individual provider Active NPI

Leia Dawn Depperschmidt, PTA

  • Physical Therapy Assistant
  • North Platte, NE
National Provider Identifier
1144509266
Registry record updated Aug 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
834 Issued in NE
Practice address
510 Centennial Cir
North Platte, NE 69101-6586
Phone
(308) 696-0074
Fax
(308) 696-0074
NPI assigned
Aug 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 834 NE Primary

Addresses

Primary practice location

510 Centennial Cir
North Platte, NE 69101-6586

Mailing address

1110 W 9TH St
North Platte, NE 69101-2816
Phone (308) 660-4195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312675200000",
    "number": "1144509266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W 9TH ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691012816",
            "telephone_number": "308-660-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CENTENNIAL CIR",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016586",
            "telephone_number": "308-696-0074",
            "fax_number": "308-696-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPPERSCHMIDT",
        "first_name": "LEIA",
        "middle_name": "DAWN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-07",
        "last_updated": "2011-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.