Active NPI
Elisabeth S. Leuthold, PT
- Physical Therapist
- Shelby, OH
National Provider Identifier
1417167735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.007746
- Practice address
- 20 Morris Rd
Shelby, OH 44875-1152 - Phone
- (419) 342-5015
- NPI assigned
- May 23, 2007
- 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 | PT.007746 | OH | Primary |
Addresses
Primary practice location
20 Morris Rd
Shelby, OH 44875-1152
Mailing address
880 State Route 314 N
Mansfield, OH 44903-8044
Phone (419) 529-2476
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 |
|---|---|---|---|
| PT.007746 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417167735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 STATE ROUTE 314 N",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449038044",
"telephone_number": "419-529-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MORRIS RD",
"city": "SHELBY",
"state": "OH",
"postal_code": "448751152",
"telephone_number": "419-342-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUTHOLD",
"first_name": "ELISABETH",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.007746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.