Active NPI
Stacey R Leeds, PT
- Physical Therapist
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0187730
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0187730 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| Metro PT OT and SLP Health PLLC | Physical Therapist | Current | Accepting new patients |
| Evolution Home Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Access Home Mobility & Safety Consultants, LLC | Past | Accepting new patients | |
| Physiologic Physical Therapy PC | Physical Therapist | Past | 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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Physical Therapist
- Port Jefferson, NY
- NPI 1477564599
-
- Physical Therapist
- Garden City, NY
- NPI 1447564042
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
dba Access Home Mobility
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1174207989
-
- Physical Therapist
- Great Neck, NY
- NPI 1356325799
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.