Michelle Leatherman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5017 Issued in NC

Practice address

500 Americhase Dr
Suite K
Greensboro, NC 27409-9505

Phone

(336) 665-8445

NPI assigned

Mar 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Activcare Physical Therapy, LLC

  dba Pivot Physical Therapy of Carolina

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626
  NPD (past)
• Physical Therapy of the Triad, Corp.

  • Physical Therapist
  • High Point, NC
  • NPI 1790096485
  NPD (past)

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1205177599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 META CT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AMERICHASE DR",
            "address_2": "SUITE K",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099505",
            "telephone_number": "336-665-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERMAN",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Learn With US, LLC
• Carmen Lianne Leary, DDS
• Pamela Sanford Leary, NCC, LPC
• Allison Erin Lease, DPT
• Christie Janel Leath-Warren, NP-C
• Lebauer Medical Center, PLLC
• Lebauer Physical Therapy, LLC
• Aaron Joseph Lebauer, PT, DPT
• Edmund Joseph Lebauer, M.D.
• Eugene Shaner Lebauer, M.D.

• Physical Therapy Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.