Active NPI
Kirk W Leininger
- Physical Medicine & Rehabilitation Physician
- Provo, UT
National Provider Identifier
1245425750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5405900-1205
- Legal business name
- KIRK W LEININGER
- Practice address
- 1034 N 500 W
Provo, UT 84604-3380 - Phone
- (801) 357-8818
- Fax
- (801) 357-8817
- NPI assigned
- Sep 7, 2007
- Last updated
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Jones
- Title
- Mananger
- Phone
- (801) 357-2725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5405900-1205 | UT | Primary |
Addresses
Primary practice location
1034 N 500 W
Provo, UT 84604-3380
Mailing address
PO Box 944
American Fork, UT 84003-0944
Phone (801) 357-2725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 549777649001 | Medicaid | UT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Medicine & Rehabilitation Physician
- St George, UT
- NPI 1386653772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189123200000",
"number": "1245425750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 944",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840030944",
"telephone_number": "801-357-2725",
"fax_number": "801-357-8817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846043380",
"telephone_number": "801-357-8818",
"fax_number": "801-357-8817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRK W LEININGER",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "MANANGER",
"authorized_official_telephone_number": "801-357-2725"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "UT",
"license": "5405900-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "549777649001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.