Michele E Leroux, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019069 Issued in PA

Practice address

24569 Route 6 Ste C
Towanda, PA 18848-8254

Phone

(570) 265-7688

Fax

(570) 265-7422

NPI assigned

Sep 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1386630176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 QUEEN ESTHER DR",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188409367",
            "telephone_number": "315-244-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24569 ROUTE 6 STE C",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188488254",
            "telephone_number": "570-265-7688",
            "fax_number": "570-265-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEROUX",
        "first_name": "MICHELE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14827",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0978925",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT14827",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Klimchak, PHARMD.
• Marjory Kizer Kreischer
• Timothy M Kump, DPM
• Dawn R. Lambert, NP
• Laura Landis, RN
• Alfredo Llinas, MD
• Cameron Scott Low
• Jessica Luksa
• Luxottica Retail North America Inc
• Claudia Mack

• Physical Therapist in Towanda, PA
• Providers in Towanda, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.