Individual provider Active NPI

Taylor Lee Leonette, DPT

  • Physical Therapist
  • East Patchogue, NY
National Provider Identifier
1306629316
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050833 Issued in NY
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

Updated by the provider on Aug 15, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20230830001511 NY Practitioner - Physical Therapist in Private Practice 7315300928 Reassigns benefits to 2 organizations

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
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

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

LicenseStateTypeSpecialty
050833NYMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Access PT, OT, New York, PLLC Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
New York University CurrentSince Sep 10, 2024 Accepting new patients
New York University CurrentSince Sep 10, 2024 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.

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.

Verify at the official NPI Registry.