Individual provider Active NPI

Leesha Charace Meredith, DPT, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1205311925
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043302-1 Issued in NY
Practice address
2214 Stillwell Ave
Brooklyn, NY 11223-4250
Phone
(718) 372-7227
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043302-1 NY Primary

Addresses

Primary practice location

2214 Stillwell Ave
Brooklyn, NY 11223-4250

Mailing address

730 Linden Blvd Apt 5a
Brooklyn, NY 11203-3464
Phone (347) 693-2295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043302NYMDGeneral Practice Dentistry
043302-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Block Institute, Inc. CurrentSince Sep 24, 2018 Accepting new patients
Optimized Independence OT PLLC Physical Therapist CurrentSince Jun 17, 2022 Accepting new patients
Block Institute, Inc. PastSince Sep 24, 2018 Accepting new patients

Locations

2214 Stillwell Ave
Brooklyn, NY 11223
Phone (718) 372-7227

376 Bay 44th St
Brooklyn, NY 11214
Phone (718) 906-5400

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.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1205311925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 LINDEN BLVD APT 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033464",
            "telephone_number": "347-693-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 STILLWELL AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234250",
            "telephone_number": "718-372-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "LEESHA",
        "middle_name": "CHARACE",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043302-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.