Christopher Bruce Leib, LPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT018221 Issued in PA

Practice address

700 Pont Reading Rd
Ardmore, PA 19003-1937

Phone

(484) 380-5185

Fax

(844) 823-5665

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1306941331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PONT READING RD STE 200B",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031937",
            "telephone_number": "484-380-5185",
            "fax_number": "844-823-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PONT READING RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031937",
            "telephone_number": "484-380-5185",
            "fax_number": "844-823-5665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191142630",
            "country_code": "US",
            "telephone_number": "215-677-0400 x1114",
            "fax_number": "215-671-1837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIB",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT018221",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-018221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristina Meyrick Lenchner, LPC, NCC, CCTP
• Leonard H Goldsmith DPM
• Susan S. Levine, LCSW, BCD
• Jonathan A. Lewis, MHS, LPC, CAC, CCS
• Minh Lieu, RPH

• Physical Therapy Clinic/Center in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.