Individual provider Active NPI

James Frederick Leighty Jr., PT DPT

  • Physical Therapist
  • Milford, PA
National Provider Identifier
1174038384
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026581 Issued in PA
Practice address
104 Bennett Ave Ste 2a-2
Milford, PA 18337-9423
Phone
(845) 649-4291
NPI assigned
Dec 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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 PT026581 PA Primary

Addresses

Primary practice location

104 Bennett Ave Ste 2a-2
Milford, PA 18337-9423

Mailing address

104 Bennett Ave Ste 2a-2
Milford, PA 18337-9423
Phone (845) 649-4291

Other identifiers 1

IdentifierTypeStateIssuer
396749OtherPAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210001410 PA Practitioner - Physical Therapist in Private Practice 5294128450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolve Physical Therapy LLCGroup PAC ID 4385037548, 3 clinicians

Practice addresses (Care Compare)

104 Bennett Ave
Suite 2a 2
Milford, PA 18337-9423
Phone (570) 293-1150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT026581PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Physical Therapy LLC Physical Therapist CurrentSince Jan 7, 2022 Accepting new patients

Locations

104 Bennett Ave
Ste 2A-2
Milford, PA 18337
Phone (570) 293-1150

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1174038384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BENNETT AVE STE 2A-2",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379423",
            "telephone_number": "845-649-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BENNETT AVE STE 2A-2",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379423",
            "telephone_number": "845-649-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHTY",
        "first_name": "JAMES",
        "middle_name": "FREDERICK",
        "name_suffix": "Jr.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-11",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "396749",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.