Individual provider Active NPI

Keri Leonard, DPT

  • Physical Therapist
  • Westminster, MD
National Provider Identifier
1295338549
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28180 Issued in MD
Practice address
826 Washington Rd Ste 111
Westminster, MD 21157-5779
Phone
(443) 201-9990
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 28180 MD Primary

Addresses

Primary practice location

826 Washington Rd Ste 111
Westminster, MD 21157-5779

Mailing address

1812 Old Washington Rd
Westminster, MD 21157-7528
Phone (443) 536-8996

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Sports Medicine & Rehabilitation, LLC CurrentSince Mar 1, 2022 Accepting new patients
Lifebridge Sports Medicine and Rehabilitation LLC Current Accepting new patients
Lifebridge Sports Medicine and Rehabilitation LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

826 Washington Rd
Ste 111
Westminster, MD 21157
Phone (410) 876-0706

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1295338549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 OLD WASHINGTON RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577528",
            "telephone_number": "443-536-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD STE 111",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575779",
            "telephone_number": "443-201-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KERI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.