Individual provider Active NPI

Leah R Thomas

  • Physical Therapist
  • Salem, OR
National Provider Identifier
1245985316
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64681 Issued in OR
Practice address
3220 Liberty Rd S
Salem, OR 97302-4560
Phone
(503) 749-9743
NPI assigned
Feb 17, 2022
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT301703 CA
Physical Therapist 225100000X 64681 OR Primary

Addresses

Primary practice location

3220 Liberty Rd S
Salem, OR 97302-4560

Mailing address

3220 Liberty Rd S
Salem, OR 97302-4560

Other practice location 1

289 W Huntington Dr Ste 103
Arcadia, CA 91007-3492
Phone (626) 396-8150

Other identifiers 2

IdentifierTypeStateIssuer
PT301703OtherCAPT LICENSE
64681OtherORPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107003048 OR Practitioner - Physical Therapist in Private Practice 5395132328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians
Northwest Rehabilitation Associates IncGroup PAC ID 5991753592, 32 clinicians

Practice addresses (Care Compare)

1600 State St
Salem, OR 97301-4257
Phone (503) 561-5200

3220 Liberty Rd S
Salem, OR 97302-4560
Phone (503) 371-0779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT301703CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Jan 19, 2026 Accepting new patients
Salem Health CurrentSince Jan 19, 2026 Accepting new patients
Northwest Rehabilitation Associates, Inc. Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients

Locations

1600 State St
Salem, OR 97301
Phone (503) 540-6472

3220 Liberty Rd S
Salem, OR 97302
Phone (503) 371-0779

3270 Liberty Rd S
Salem, OR 97302
Phone (503) 371-0779

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1245985316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024560",
            "fax_number": "626-795-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024560",
            "telephone_number": "503-749-9743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 W Huntington Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910073492",
            "country_code": "US",
            "telephone_number": "626-396-8150",
            "fax_number": "626-795-0854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LEAH",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT301703",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT301703",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "64681",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.