Stacey Leach, DPT, MHA, MSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8943 Issued in MN

Practice address

4082 Flag Ave N
New Hope, MN 55427-1040

Phone

(319) 329-2711

NPI assigned

Apr 2, 2012

Last updated

Jan 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Luna Care Physical Therapy LLCGroup PAC ID 6103230172, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minnesota Luna Care Physical Therapy LLC

  • Physical Therapist
  • Saint Paul, MN
  • NPI 1780288134
  Medicare reassignment Care Compare group NPD
• Empower You Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • New Hope, MN
  • NPI 1104416957
  NPD Authorized official
• Laboratory Corportation of America Holdings

  • Clinical Medical Laboratory
  • Edina, MN
  • NPI 1316442478
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1245596428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4082 FLAG AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271040",
            "telephone_number": "319-329-2711",
            "fax_number": "763-302-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4082 FLAG AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271040",
            "telephone_number": "319-329-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 W 66th St",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352111",
            "country_code": "US",
            "telephone_number": "952-920-8088",
            "fax_number": "763-302-4219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "STACEY",
        "credential": "DPT, MHA, MSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephenie H Labandz, PT, DPT
• Lakeside Home Health
• Nicole Lampi, SLP
• Hannah Claire Langholz, LICSW
• Lauren Jasperson Psychotherapy, LLC (Dba - Allium Psychotherapy)
• Donna Yeon Lee, DMD
• Houa Wa Lee
• Michelle Marie Lee, HIS
• Yun Je Lee, DMD
• Leeloow Transportation LLC

• Physical Therapist in New Hope, MN
• Providers in New Hope, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.