Individual provider Active NPI

Leshea Ann Straub, LPTA

  • Physical Therapy Assistant
  • Springdale, AR
National Provider Identifier
1326356288
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2459 Issued in AR
Practice address
1112 S 48TH St
Suite B
Springdale, AR 72762-5848
Phone
(479) 751-3900
Fax
(479) 751-3011
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2459 AR Primary

Addresses

Primary practice location

1112 S 48TH St
Suite B
Springdale, AR 72762-5848

Mailing address

81 Riverwood Ave
West Fork, AR 72774-2937
Phone (479) 409-6376

Other names 1

  • Leshea Ann Selby Former name

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
2459ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A. Yumang Rehab Serivces, PA PastSince Feb 18, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1326356288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 RIVERWOOD AVE",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "727742937",
            "telephone_number": "479-409-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S 48TH ST",
            "address_2": "SUITE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625848",
            "telephone_number": "479-751-3900",
            "fax_number": "479-751-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "LESHEA",
        "middle_name": "ANN",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "2459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESHEA",
            "last_name": "SELBY",
            "middle_name": "ANN",
            "credential": "LPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.