Active NPI
Taylor Lee Leonette, DPT
- Physical Therapist
- East Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 050833
- Practice address
- 100 Hospital Rd Ste 112
East Patchogue, NY 11772-8811 - Phone
- (631) 456-5512
- Fax
- (631) 456-5514
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 050833 | NY | Primary |
Addresses
Primary practice location
100 Hospital Rd Ste 112
East Patchogue, NY 11772-8811
Mailing address
16 Maybrook Rd Ste L
Campbell Hall, NY 10916-2741
Phone (845) 636-4344
Other practice location 1
1111 Montauk Hwy Ste 2-2
West Islip, NY 11795-4910
Phone (631) 840-6209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
877 E Main St
Suite 106
Riverhead, NY 11901-2521
Phone (631) 727-0660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050833 | NY | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access PT, OT, New York, PLLC | Physical Therapist | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325
16 Maybrook Rd
Ste L
Campbell Hall, NY 10916
100 Hospital Rd
Ste 112
East Patchogue, NY 11772
Phone (631) 456-5512
111 Maiden Ln
Kingston, NY 12401
Phone (845) 331-8590
14 Thiells Mount Ivy Rd
Ste 2
Pomona, NY 10970
Phone (845) 694-8808
877 E Main St
Ste 106
Riverhead, NY 11901
Phone (631) 727-0660
1111 Montauk Hwy
Ste 22
West Islip, NY 11795
Phone (631) 376-4242
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
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.
-
- Physical Therapist
- New City, NY
- NPI 1831539493
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1306629316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MAYBROOK RD STE L",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162741",
"telephone_number": "845-636-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD STE 112",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728811",
"telephone_number": "631-456-5512",
"fax_number": "631-456-5514"
}
],
"practiceLocations": [
{
"address_1": "1111 Montauk Hwy Ste 2-2",
"address_purpose": "LOCATION",
"city": "West Islip",
"state": "NY",
"postal_code": "117954910",
"country_code": "US",
"telephone_number": "631-840-6209",
"fax_number": "631-456-1338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONETTE",
"first_name": "TAYLOR",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "050833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.