Leah Reidy, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25026 Issued in MA

Practice address

350 Main St FL 1
Malden, MA 02148-5089

Phone

(617) 952-6420

NPI assigned

Nov 21, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spaulding Rehabilitation Hospital Corporation

  • Land Ambulance
  • Cambridge, MA
  • NPI 1740250547
  NPD (past)

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1194328088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MAIN ST FL 1",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MAIN ST FL 1",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485089",
            "telephone_number": "617-952-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "LEAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "25026",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE NUMBER",
            "identifier": "25026",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreidy@partners.org",
            "affiliation": "N",
            "endpointDescription": "lreidy@partners.org",
            "address_1": "350 Main St Fl 1",
            "city": "Malden",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021485089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreidy@partners.org",
            "affiliation": "N",
            "endpointDescription": "lreidy@partners.org",
            "address_1": "350 Main St Fl 1",
            "city": "Malden",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021485089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreidy@partners.org",
            "affiliation": "N",
            "endpointDescription": "lreidy@partners.org",
            "address_1": "350 Main St Fl 1",
            "city": "Malden",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021485089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Redwood Acquisiton West LLC
• Kristen Nichole Reed
• Refined Wellness and Physical Therapy LLC
• Daniela Lizbeth Regalado
• Warren Curtis Reid, BA
• Natalia Restrepo
• Revive Counseling and Wellness Center
• Prona Nakubulwa Rex, BSN
• Cari Reynolds
• Paola M Rhodes, BA

• Physical Therapist in Malden, MA
• Providers in Malden, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.