Leonard Andrew Roberts, DPT
Individual provider Active NPI Physical Therapist · Carmel, IN
NPI 1184091944 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1184091944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05011352A (IN)
- Practice address
- 1335 S Guilford Rd
Carmel, IN 46032-2999 - Phone
- (317) 810-1937
- NPI assigned
- Aug 27, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- East Tennessee State University Quillen College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Indiana Luna Care Physical Therapy LLC
Practice addresses (Care Compare)
11 Municipal Dr
Suite 200
Fishers, IN 46038-1634
Phone (866) 525-3175
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190108000442 | IN | Practitioner - Physical Therapist in Private Practice | 8628314911 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05011352A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011352A | IN | Yes |
Addresses
Primary practice location
1335 S Guilford Rd
Carmel, IN 46032-2999
Mailing address
2701 Chestnut Station CT
Louisville, KY 40299-6395
Phone (800) 335-1060
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.