Active NPI
Jennifer Marie Leichliter, P.T.
- Physical Therapist
- MC Murray, PA
National Provider Identifier
1366697013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016766
- Practice address
- 113 W McMurray Rd
MC Murray, PA 15317-2427 - Phone
- (724) 941-3080
- NPI assigned
- Nov 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016766 | PA | Primary |
Addresses
Primary practice location
113 W McMurray Rd
MC Murray, PA 15317-2427
Mailing address
233 Winning Way
Canonsburg, PA 15317-9515
Phone (724) 986-2091
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT016766 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227312000000",
"number": "1366697013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 WINNING WAY",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153179515",
"telephone_number": "724-986-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W MCMURRAY RD",
"city": "MC MURRAY",
"state": "PA",
"postal_code": "153172427",
"telephone_number": "724-941-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEICHLITER",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-22",
"last_updated": "2008-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Murray, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.