Active NPI
Anthony Leighton
- Speech-Language Pathologist
- Pierson, MI
National Provider Identifier
1194126300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101000803
- Practice address
- 2397 N Dagget Rd
Pierson, MI 49339-9733 - Phone
- (269) 929-0679
- NPI assigned
- Sep 7, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Physical Therapist
- Canton, MI
- NPI 1790324648
MI, Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Speech-Language Pathologist
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services Mi LLC
Practice addresses (Care Compare)
5969 N Canton Ctr Rd
Canton, MI 48187-2757
Phone (877) 407-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241004002772 | MI | Practitioner - Qualified Speech Language Pathologist | 4183155864 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101000803 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Mi LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101000803 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2397 N Dagget Rd
Pierson, MI 49339-9733
Mailing address
2397 N Dagget Rd
Pierson, MI 49339-9733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2014.
{
"created_epoch": "1410048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410048000000",
"number": "1194126300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2397 N DAGGET RD",
"city": "PIERSON",
"state": "MI",
"postal_code": "493399733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2397 N DAGGET RD",
"city": "PIERSON",
"state": "MI",
"postal_code": "493399733",
"telephone_number": "269-929-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIGHTON",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-07",
"last_updated": "2014-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101000803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pierson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; 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.