Individual provider Active NPI

Stacey R Leeds, PT

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1164404372
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0187730 Issued in NY
Practice address
98 Cuttermill Rd
#100
Great Neck, NY 11021-3006
Phone
(516) 466-4118
Fax
(516) 466-2856
NPI assigned
Nov 15, 2005
Last updated
May 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0187730 NY Primary

Addresses

Primary practice location

98 Cuttermill Rd
#100
Great Neck, NY 11021-3006

Mailing address

98 Cuttermill Rd
#100
Great Neck, NY 11021-3006
Phone (516) 466-4118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001220 NY Practitioner - Physical Therapist in Private Practice 7113919051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

1012 Railroad Ave
Woodmere, NY 11598-1645
Phone (516) 371-5410

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

11701 84TH Ave
Kew Gardens, NY 11418-1420
Phone (718) 480-8194

70 Maple Ave
Rockville Centre, NY 11570-4225
Phone (516) 536-7388

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0187730NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Sep 20, 2019 Accepting new patients
Metro PT OT and SLP Health PLLC Physical Therapist CurrentSince Mar 6, 2024 Accepting new patients
Evolution Home Physical Therapy, P.C. Physical Therapist CurrentSince Apr 1, 2011 Accepting new patients
Access Home Mobility & Safety Consultants, LLC PastSince Jun 18, 2023 Accepting new patients
Physiologic Physical Therapy PC Physical Therapist PastSince Mar 1, 1994 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

800 E Gate Blvd
Garden City, NY 11530

1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700

600 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 627-8717

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1164404372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CUTTERMILL RD",
            "address_2": "#100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213006",
            "telephone_number": "516-466-4118",
            "fax_number": "516-466-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CUTTERMILL RD",
            "address_2": "#100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213006",
            "telephone_number": "516-466-4118",
            "fax_number": "516-466-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "STACEY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0187730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.