Individual provider Active NPI

Leif Erick Sanford

  • Physical Therapist
  • Lansing, KS
National Provider Identifier
1154875540
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02913 Issued in KS
Practice address
100 E Kansas St Ste C
Lansing, KS 66043-1610
Phone
(913) 758-0283
NPI assigned
Aug 15, 2016
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2023010743 MO
Physical Therapist 225100000X 11-02913 KS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-02913KSMDPhysical Therapist
2023010743MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Sep 29, 2017 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Sep 29, 2017 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Apr 29, 2024 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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1154875540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E KANSAS ST STE C",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431610",
            "telephone_number": "913-758-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E KANSAS ST STE C",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431610",
            "telephone_number": "913-758-0283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6264 Lewis Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MO",
            "postal_code": "641523603",
            "country_code": "US",
            "telephone_number": "816-587-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "LEIF",
        "middle_name": "ERICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023010743",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.