NPIMap

Individual provider Active NPI

Leah Jo Destigter, PT

  • Physical Therapist
  • Hull, IA
National Provider Identifier
1316019243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03872 Issued in IA
Practice address
807 Main St.
Suite C
Hull, IA 51239
Phone
(712) 439-2266
Fax
(712) 439-2286
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03872IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Center Health Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03872 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

807 Main St.
Suite C
Hull, IA 51239

Mailing address

1219 8TH Street
Hull, IA 51239
Phone (712) 439-9933

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316019243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 8TH STREET",
            "city": "HULL",
            "state": "IA",
            "postal_code": "51239",
            "telephone_number": "712-439-9933",
            "fax_number": "712-439-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MAIN ST.",
            "address_2": "SUITE C",
            "city": "HULL",
            "state": "IA",
            "postal_code": "51239",
            "telephone_number": "712-439-2266",
            "fax_number": "712-439-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTIGTER",
        "first_name": "LEAH",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hull, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.