NPIMap

Organization Active NPI

Leaps and Bounds Therapy LLC

  • Multi-Specialty Clinic/Center
  • Lake Forest, IL
National Provider Identifier
1205229572
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LEAPS AND BOUNDS THERAPY LLC
Practice address
455 Butler Dr
Lake Forest, IL 60045-3013
Phone
(312) 480-7433
Fax
(312) 610-5655
NPI assigned
Mar 11, 2015
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Aneri Dalia Bhansali, DPTNPI 1154644326
Title
Owner
Phone
(312) 480-7433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

455 Butler Dr
Lake Forest, IL 60045-3013

Mailing address

455 Butler Dr
Lake Forest, IL 60045-3013
Phone (312) 480-7433

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1205229572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BUTLER DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453013",
            "telephone_number": "312-480-7433",
            "fax_number": "312-610-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BUTLER DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453013",
            "telephone_number": "312-480-7433",
            "fax_number": "312-610-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS AND BOUNDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "BHANSALI",
        "authorized_official_first_name": "ANERI",
        "authorized_official_middle_name": "DALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-480-7433",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.