Individual provider Active NPI

Heidi Leeser, PT, DPT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1356893713
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210662 Issued in VA
Practice address
2506 Hanover Ave
Apt 1
Richmond, VA 23220-4004
Phone
(570) 428-5890
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305210662 VA Primary

Addresses

Primary practice location

2506 Hanover Ave
Apt 1
Richmond, VA 23220-4004

Mailing address

2506 Hanover Ave
Apt 1
Richmond, VA 23220-4004
Phone (570) 428-5890

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
2305210662VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1356893713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 HANOVER AVE",
            "address_2": "APT 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204004",
            "telephone_number": "570-428-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 HANOVER AVE",
            "address_2": "APT 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204004",
            "telephone_number": "570-428-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESER",
        "first_name": "HEIDI",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.