Individual provider Active NPI

Isabella Christine Leedham, PT, DPT

  • Pediatric Rehabilitation Medicine Physician
  • Chicago, IL
National Provider Identifier
1346135316
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
070029197 Issued in IL
Practice address
2232 N Clybourn Ave # Level3
Chicago, IL 60614-3193
Phone
(773) 377-5492
NPI assigned
Jun 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 070029197 IL Primary

Addresses

Primary practice location

2232 N Clybourn Ave # Level3
Chicago, IL 60614-3193

Mailing address

1415 W Augusta Blvd BSMT
Chicago, IL 60642-3941
Phone (913) 961-9125

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
070029197ILMDPediatric Rehabilitation Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1346135316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W AUGUSTA BLVD BSMT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606423941",
            "telephone_number": "913-961-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 N CLYBOURN AVE # LEVEL3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143193",
            "telephone_number": "773-377-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDHAM",
        "first_name": "ISABELLA",
        "middle_name": "CHRISTINE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "IL",
            "license": "070029197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.