Andrea Leiserowitz, MPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5632 Issued in OR

Practice address

1310 Coburg Rd Ste 5
Eugene, OR 97401-5200

Phone

(541) 683-2743

Fax

(541) 344-8936

NPI assigned

Jun 17, 2008

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willamette Community Health SolutionsGroup PAC ID 5496667578, shared by 3 NPIs, 30 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.

• Willamette Community Health Solutions

  dba Cascade Health Solutions

  • Diabetes Educator Registered Nurse
  • Eugene, OR
  • NPI 1255379566
  Medicare reassignment NPD
• Willamette Community Health Solutions

  • Physical Therapist
  • Eugene, OR
  • NPI 1649431636
  Medicare reassignment NPD
• Willamette Community Health Solutions

  • Specialist
  • Eugene, OR
  • NPI 1477714467
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1255592838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 COBURG RD STE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015200",
            "telephone_number": "541-345-7532",
            "fax_number": "541-345-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 COBURG RD STE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015200",
            "telephone_number": "541-683-2743",
            "fax_number": "541-344-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISEROWITZ",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "MPT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Saint-Louis MD LLC
• Kristal Deniece Leighton, CADC-R
• Johanna Leighty
• Hannah Leiken, CADC-R
• Angeli Leinenkugel, LMT
• Kelly Marie Leitheiser
• Emilie Michele Lelacheur
• Bradley Leland
• Rhiannon Lelievre, LMT
• Dominic Lemas, OD

• Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.