Individual provider Active NPI

Kayla Leer, DPT

  • Physical Therapist
  • Meridian, ID
National Provider Identifier
1174970248
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1937 Issued in ND
Practice address
1560 S Carol St
Suite 150
Meridian, ID 83646-1839
Phone
(208) 287-9420
Fax
(208) 287-9426
NPI assigned
May 18, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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 1937 ND Primary

Addresses

Primary practice location

1560 S Carol St
Suite 150
Meridian, ID 83646-1839

Mailing address

3170 43Rd St S
Suite 101
Fargo, ND 58104-8908
Phone (701) 277-8448

Other identifiers 1

IdentifierTypeStateIssuer
PT-1937OtherNDND STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929000651 ND Practitioner - Physical Therapist in Private Practice 2365739778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabauthority LLCGroup PAC ID 1355333931, 48 clinicians

Practice addresses (Care Compare)

3170 43Rd St S
Suite 101
Fargo, ND 58104-8908
Phone (701) 277-8448

3921 Lockport St
Bismarck, ND 58503-5541
Phone (701) 751-3128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1937NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabauthority, LLC Physical Therapist CurrentSince Oct 1, 2016 Accepting new patients

Locations

1560 S Carol St
Meridian, ID 83646
Phone (208) 495-4317

1560 S Carol St
Ste 150
Meridian, ID 83646

3921 Lockport St
Bismarck, ND 58503
Phone (701) 751-3125

600 S 2nd St
Ste 100
Bismarck, ND 58504
Phone (701) 450-1330

3170 43rd St S
Ste 101
Fargo, ND 58104
Phone (701) 277-8448

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, 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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1174970248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 43RD ST S",
            "address_2": "SUITE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048908",
            "telephone_number": "701-277-8448",
            "fax_number": "701-277-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 S CAROL ST",
            "address_2": "SUITE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461839",
            "telephone_number": "208-287-9420",
            "fax_number": "208-287-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEER",
        "first_name": "KAYLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND STATE LICENSE",
            "identifier": "PT-1937",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.