Nicholas A Leelum, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050522 Issued in NY

Practice address

217 Wilson St
Massapequa Park, NY 11762-2446

Phone

(516) 474-9426

NPI assigned

Sep 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ny Z Physical Therapy PLLCGroup PAC ID 0143671529, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Leelum Physical Therapy PLLC

  • Home Health Agency
  • New York, NY
  • NPI 1528938883
  Medicare reassignment NPD Authorized official
• Ny Z Physical Therapy PLLC

  • Physical Therapist
  • Astoria, NY
  • NPI 1063193076
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1164200226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WILSON ST",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622446",
            "telephone_number": "516-474-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WILSON ST",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622446",
            "telephone_number": "516-474-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEELUM",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Langevin, MSW
• Michael Langevin, MS OTR/L
• Steven Ronald Langevin, S.L.P.
• Macle Emily Laurenti, M.A.
• Sandra Lee
• Stacey Leo
• Michael Levine
• Marc Steven Levitt, M.D.
• Li Hong Zou Acupuncture PC
• Anna Ligarzewski, RN

• Physical Therapist in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.