Organization Active NPI

Daniel Leahey Physical Therapy

  • Orthopedic Physical Therapist
  • Fort Lee, NJ
National Provider Identifier
1356042469
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
DANIEL LEAHEY PHYSICAL THERAPY
Practice address
1 Bridge PLZ N Ste 810
Fort Lee, NJ 07024-7110
Phone
(201) 773-4644
Fax
(201) 849-5154
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Daniel Gerard Leahey
Title
Physical Therapist
Phone
(201) 788-9143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

1 Bridge PLZ N Ste 810
Fort Lee, NJ 07024-7110

Mailing address

565 Grove St Apt A13
Clifton, NJ 07013-3150
Phone (201) 788-9143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230626000030 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648638502 Practice locations: Fort Lee, NJ

National Provider Directory

National Provider Directory

Locations

1 Bridge Plz N
Ste 810
Fort Lee, NJ 07024
Phone (201) 773-4644

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1356042469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 GROVE ST APT A13",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133150",
            "telephone_number": "201-788-9143",
            "fax_number": "201-849-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE PLZ N STE 810",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247110",
            "telephone_number": "201-773-4644",
            "fax_number": "201-849-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL LEAHEY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "LEAHEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-788-9143"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.