Individual provider Active NPI

Leah Micek, PT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1356921787
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31689 Issued in AZ
Practice address
17300 N Perimeter Dr
Scottsdale, AZ 85255-5493
Phone
(602) 734-1834
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 LPT-31689 AZ Primary

Addresses

Primary practice location

17300 N Perimeter Dr
Scottsdale, AZ 85255-5493

Mailing address

17300 N Perimeter Dr
Scottsdale, AZ 85255-5493

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622002167 AZ Practitioner - Physical Therapist in Private Practice 0244631786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harper Physical Therapy IncGroup PAC ID 0345222493, 4 clinicians

Practice addresses (Care Compare)

41818 N Venture Dr
Suite 120
Anthem, AZ 85086-3189
Phone (623) 742-7338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian F. Gruber, M.D., LTD Physical Therapist CurrentSince Apr 12, 2021 Accepting new patients
Harper Physical Therapy Inc Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Neurosurgical Associates, LTD Physical Therapist Past Accepting new patients

Locations

20940 N Tatum Blvd
Ste B290
Phoenix, AZ 85050
Phone (602) 734-1826

41818 N Venture Dr
Ste 120
Phoenix, AZ 85086
Phone (623) 742-7338

17300 N Perimeter Dr
Ste 150
Scottsdale, AZ 85255
Phone (602) 734-1826

Organizations & group practices 3

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1356921787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 N PERIMETER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 N PERIMETER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555493",
            "telephone_number": "602-734-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICEK",
        "first_name": "LEAH",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.