Individual provider Active NPI

Leah Sonia Lichaa, P.T., D.P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1255619862
Registry record updated Jul 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33940 Issued in NY
Practice address
1582 W 6TH St
Brooklyn, NY 11204-4923
Phone
(718) 621-1611
NPI assigned
Jul 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 33940 NY Primary

Addresses

Primary practice location

1582 W 6TH St
Brooklyn, NY 11204-4923

Mailing address

1582 W 6TH St
Brooklyn, NY 11204-4923

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000092 NY Practitioner - Physical Therapist in Private Practice 1153592894 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33940NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Superior Clinical Care PLLC CurrentSince Nov 18, 2017 Accepting new patients

Locations

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312070400000",
    "number": "1255619862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044923",
            "telephone_number": "718-621-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHAA",
        "first_name": "LEAH",
        "middle_name": "SONIA",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2011-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "33940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.