Active NPI
Carrie Ann Leese, PT
- Physical Therapist
- Kennett Square, PA
National Provider Identifier
1386920247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021679
- Practice address
- 1793 Newark Rd
Kennett Square, PA 19348-1106 - Phone
- (484) 883-1911
- NPI assigned
- Oct 24, 2011
- 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 | PT021679 | Primary |
Addresses
Primary practice location
1793 Newark Rd
Kennett Square, PA 19348-1106
Mailing address
1793 Newark Rd
Kennett Square, PA 19348-1106
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1386920247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1793 NEWARK RD",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193481106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1793 NEWARK RD",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193481106",
"telephone_number": "484-883-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEESE",
"first_name": "CARRIE",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "PT021679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.