Individual provider Active NPI

Branden Dugan Leff

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1396574703
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009137 Issued in KY
Practice address
12000 Aiken Rd
Louisville, KY 40243-2413
Phone
(502) 489-5002
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 009137 KY Primary

Addresses

Primary practice location

12000 Aiken Rd
Louisville, KY 40243-2413

Mailing address

12000 Aiken Rd
Louisville, KY 40243-2413

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015000671 KY Practitioner - Physical Therapist in Private Practice 9436681558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

12000 Aiken Rd
Louisville, KY 40243-2413
Phone (502) 489-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009137KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Aug 12, 2024 Accepting new patients

Locations

6003 Pleasant Colony Ct
Ste 3
Crestwood, KY 40014
Phone (502) 241-5597

1212 Market St
Lagrange, KY 40031
Phone (502) 225-9981

12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

3584 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-4700

9368 Cedar Center Way
Louisville, KY 40291
Phone (502) 231-3479

9880 Angies Way
Ste 100
Louisville, KY 40241
Phone (502) 209-0649

190 Shadowmeade Ln
Mt Washington, KY 40047
Phone (502) 538-2332

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1396574703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 AIKEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 AIKEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432413",
            "telephone_number": "502-489-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFF",
        "first_name": "BRANDEN",
        "middle_name": "DUGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.