Meagan Rose Leach, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26658 Issued in MD

Practice address

4050 Milton Ave
Camillus, NY 13031-1217

Phone

(315) 481-9846

NPI assigned

Oct 1, 2017

Last updated

Apr 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Meagan Rose Wademan Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Return to Compete Physical Therapy, PLLC

  • Physical Therapist
  • Liverpool, NY
  • NPI 1659006641
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1506816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1316457674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 ROLLING HILLS RD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130319614",
            "telephone_number": "315-481-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 MILTON AVE",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311217",
            "telephone_number": "315-481-9846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 S Ann St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212313401",
            "country_code": "US",
            "telephone_number": "410-989-3833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "MEAGAN",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-01",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044035",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "WADEMAN",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emmalee Kristin Langtry, M.A., CCC-SLP
• Charles Vincent Lapp, PHARMACIST
• Nicole Lavalle, FNP
• James Francis Lawless, MD
• Vanessa Marie Leabo, FNP-C
• Wayne A Leavitt, MD
• Peggy Lee, PHARM. D.
• Thomas C Lee, MD
• Michael Lentini, D.C.
• Todd R. Lentz, M.D.

• Physical Therapist in Camillus, NY
• Providers in Camillus, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.