Active NPI
Leah Marie Naguit Bengco, P.T.
- Physical Therapist
- Morristown, TN
National Provider Identifier
1225073372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6945
- Practice address
- 901 E Morris Blvd
Suite E
Morristown, TN 37813-2499 - Phone
- (423) 586-6866
- Fax
- (423) 581-9679
- NPI assigned
- Jun 20, 2006
- Last updated
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6945 | TN | Primary |
Addresses
Primary practice location
901 E Morris Blvd
Suite E
Morristown, TN 37813-2499
Mailing address
901 E Morris Blvd
Morristown, TN 37813-2499
Phone (423) 586-6866
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4117977 | Other | TN | BCBS /BC PROVIDER |
| 7404443 | Other | TN | AETNA GROUP PROV. # |
| 1364074 | Other | TN | CIGNA GROUP PROV.# |
| 621773663 | Other | TN | GROUP TAX ID |
Other names 1
- Ms. Leah Marie Bengco
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1225073372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E MORRIS BLVD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378132499",
"telephone_number": "423-586-6866",
"fax_number": "423-581-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E MORRIS BLVD",
"address_2": "SUITE E",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378132499",
"telephone_number": "423-586-6866",
"fax_number": "423-581-9679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENGCO",
"first_name": "LEAH MARIE",
"middle_name": "NAGUIT",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "6945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS /BC PROVIDER",
"identifier": "4117977",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP PROV. #",
"identifier": "7404443",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GROUP PROV.#",
"identifier": "1364074",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID",
"identifier": "621773663",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEAH",
"last_name": "BENGCO",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.