Leo Martin Dusek, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5729 Issued in OR

Practice address

898 SW 4TH Ave
Ontario, OR 97914-2627

Phone

(541) 881-7330

NPI assigned

Dec 6, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Saint Alphonsus Medical Center- Ontario Inc

  • General Acute Care Hospital
  • Ontario, OR
  • NPI 1013276831
  NPD (past)
• Sports & Ortho Rehab

  • Occupational Therapist
  • Ontario, OR
  • NPI 1013181437
  NPD (past)

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1366745887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CLEVELAND BLVD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054440",
            "telephone_number": "208-454-9223",
            "fax_number": "208-454-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142627",
            "telephone_number": "541-881-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSEK",
        "first_name": "LEO",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisa Mae Dunbar, QMHP
• Sandra Dunbrasky, M.D.
• Steven D Dunker, DDS
• Jonathan Dunlap, CADC CANDIDATE
• Dupuytren'S Center
• Ann Adele Easly-Debisschop, O.D.
• Eastern Oregon Center for Independent Living
• Eastern Oregon Dental Clinic LLC
• Kade Eli Eckhardt
• Tristan Lee Eckhardt

• Physical Therapist in Ontario, OR
• Providers in Ontario, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.