Leif Erick Sanford
Individual provider Active NPI Physical Therapist · Lansing, KS
NPI 1154875540 · NPPES record last updated Nov 29, 2023
Key facts
- NPI
- 1154875540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-02913 (KS)
- Practice address
- 100 E Kansas St Ste C
Lansing, KS 66043-1610 - Phone
- (913) 758-0283
- NPI assigned
- Aug 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170314001329 | KS | Practitioner - Physical Therapist in Private Practice | 4587629795 | Reassigns benefits to 1 organization |
| I20240626001759 | MO | Practitioner - Physical Therapist in Private Practice | 4587629795 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-02913 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings, Inc. | Current |
Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current |
Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current |
Accepting new patients |
| Select Physical Therapy Holdings Inc | Physical Therapist | Current | Accepting new patients |
Locations
100 E Kansas St
Ste C
Lansing, KS 66043
Phone (913) 758-0283
2916 S 4th St
Ste 300
Leavenworth, KS 66048
Phone (913) 758-0283
5922 Barkley St
Mission, KS 66202
Phone (913) 229-9440
10351 Barkley St
#41171
Overland Park, KS 66212
Phone (913) 642-2251
2701 W Edgewood Dr
Ste 105
Jefferson City, MO 65109
Phone (573) 636-9104
200 NE 54th St
Ste 101
Kansas City, MO 64118
Phone (816) 455-0301
6264 Lewis Dr
Ste 100
Parkville, MO 64152
Phone (816) 587-8001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 2023010743 | MO | |
| Physical Therapist | 225100000X | 11-02913 | KS | Yes |
Addresses
Primary practice location
100 E Kansas St Ste C
Lansing, KS 66043-1610
Mailing address
100 E Kansas St Ste C
Lansing, KS 66043-1610
Phone (913) 758-0283
Other practice location 1
6264 Lewis Dr Ste 100
Parkville, MO 64152-3603
Phone (816) 587-8001
Other providers in Lansing, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.