Leah Palmer Aycock, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18184 Issued in NC

Practice address

1302 Sunset Ave
Clinton, NC 28328-3824

Phone

(910) 990-6612

NPI assigned

Oct 17, 2022

Last updated

Oct 17, 2022By 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 NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Sampson LLCGroup PAC ID 9234597204, 2 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.

• Thrive Sampson LLC

  • Physical Therapist
  • Clinton, NC
  • NPI 1619673258
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1285350850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CUTCHIN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282911",
            "telephone_number": "910-990-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SUNSET AVE",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283824",
            "telephone_number": "910-990-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYCOCK",
        "first_name": "LEAH",
        "middle_name": "PALMER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott D Augustine, MD
• Janice Austria
• Jeffrey Wayne Autry, FNP
• Lauren Elaine Aves, CPNP-PC
• Danny Wayne Aycock, RPH
• Melanie Barber, PHARM.D
• Jeremy Wayne Barefoot, PHARMD
• Teresa Edwards Barnes, RN
• Kari Leanne Barnett, NP
• Robert Thomas Barowsky, MD

• Physical Therapist in Clinton, NC
• Providers in Clinton, NC by specialty
• Physical Therapist in North Carolina

• 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.