Leigh Anne Stanley

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6505 Issued in TN

Practice address

2400 E Mitchell St
Humboldt, TN 38343-3036

Phone

(901) 486-0658

NPI assigned

Jan 13, 2019

Last updated

Jan 13, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1285108225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 VISTA DR",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383556948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E MITCHELL ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433036",
            "telephone_number": "901-486-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "LEIGH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6505",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Smith, FNP
• Kelly George Smith, PT
• Southern Health & Wellness Clinic
• Benjamin Clay Stallings, DDS
• Alexandria Stanley
• State of Tennessee (Gibson County Health Department Humboldt Clinic)
• Christina Stewart, CNA
• Martha Jenny Stokes
• Monica L Strickler, DACM
• Mary Nichole Tate

• Physical Therapy Assistant in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.