Maria Leider

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

10027 Issued in MN

Practice address

12400 Portland Ave
Ste. 140
Burnsville, MN 55337-6868

Phone

(952) 428-0400

NPI assigned

Apr 26, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1225483365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE. S",
            "address_2": "STE. 140",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-428-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE",
            "address_2": "STE. 140",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376868",
            "telephone_number": "952-428-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDER",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MN",
            "license": "10027",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MN",
            "license": "10027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byung L Lee, MD
• Ignatius K Lee, D.D.S.
• Molly Elizabeth Lee, PT
• Rebecca Ann Leedy
• Analice Guimaraes Lehman
• Mark Leiknes
• Jennifer Jean Leisen
• Ruth Margaret Lekander, OT
• Michelle Marie Lembcke
• Fenet Lemessa

• Pediatric Physical Therapist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Pediatric Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.