Active NPI
Leonid Ladyzhensky, P.T.
- Physical Therapist
- Bradenton, FL
National Provider Identifier
1255364220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 6466
- Practice address
- 6088 14TH St W
Bradenton, FL 34207-4104 - Phone
- (941) 752-0758
- Fax
- (941) 752-4157
- NPI assigned
- Jul 10, 2006
- Last updated
- Aug 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 6466 | FL | Primary |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | PT 8986 | NY |
Addresses
Primary practice location
6088 14TH St W
Bradenton, FL 34207-4104
Mailing address
6088 14TH St W
Bradenton, FL 34207-4104
Phone (941) 752-0758
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 6466 | FL | MD | Physical Therapist |
| PT 8986 | NY | MD | Clinical Electrophysiology Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Bradenton, FL
- NPI 1164732970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1255364220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6088 14TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342074104",
"telephone_number": "941-752-0758",
"fax_number": "941-752-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6088 14TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342074104",
"telephone_number": "941-752-0758",
"fax_number": "941-752-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADYZHENSKY",
"first_name": "LEONID",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 6466",
"primary": true
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "NY",
"license": "PT 8986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.