Individual provider Active NPI

Lea D Coccetella

  • Physical Therapist
  • Leawood, KS
National Provider Identifier
1306721949
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6728 Issued in OK
Practice address
11250 Tomahawk Creek Pkwy
Leawood, KS 66211-2668
Phone
(913) 253-8980
Fax
(913) 253-1760
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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 6728 OK Primary

Addresses

Primary practice location

11250 Tomahawk Creek Pkwy
Leawood, KS 66211-2668

Mailing address

11450 Lamar Ave Unit 2207
Overland Park, KS 66211-1565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114000387 KS Practitioner - Physical Therapist in Private Practice 8426534009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Physical Therapy and Rehab Services IncGroup PAC ID 1850370453, 120 clinicians

Practice addresses (Care Compare)

5600 Hedge Lane Ter
Shawnee, KS 66226-2255
Phone (816) 474-8877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6728OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Physical Therapy & Rehab Services, Inc Physical Therapist CurrentSince Dec 10, 2025 Accepting new patients
Dickson Diveley Midwest Orthopaedic Clinic LLC Past Accepting new patients

Locations

15445 Metcalf Ave
Overland Park, KS 66223
Phone (913) 232-8955

5600 Hedge Lane Ter
Shawnee, KS 66226
Phone (913) 322-4100

2100 Swift Ave
North Kansas City, MO 64116
Phone (816) 474-8877

Organizations & group practices 2

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1306721949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 LAMAR AVE UNIT 2207",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 TOMAHAWK CREEK PKWY",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112668",
            "telephone_number": "913-253-8980",
            "fax_number": "913-253-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCETELLA",
        "first_name": "LEA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.