Active NPI
Daniel Leahey Physical Therapy
- Orthopedic Physical Therapist
- Fort Lee, NJ
National Provider Identifier
1356042469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230626000030 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0648638502 | Practice locations: Fort Lee, NJ |
National Provider Directory
National Provider DirectoryLocations
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.