Active NPI
Kayla Leer, DPT
- Physical Therapist
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1937
- 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, 2016
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-1937 | Other | ND | ND STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1937 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabauthority, LLC | Physical Therapist | Current | 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
- Stephanie Lee, PMHNP-BC
- Tami Sue Lee, CMT, LMT
- Tracy Elizabeth Lee
- Stephen Edward Leeb, DDS
- Tyler Paul Leenknecht
- Elizabeth Lefevre
- Thomas Leftwich
- Legacy Home Care II, LLC (Compassus Home Health Boise ID)
- Legacy Home Care LC (Legacy Home Health Care)
- Legacy Hospice Care, LLC (Legacy home health and hospice)
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.