Pamela Dawn Leeson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

J20000612 Issued in DE

Practice address

432 E Main St
Middletown, DE 19709-1462

Phone

(302) 376-4315

Fax

(302) 376-4318

NPI assigned

Jul 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

• Dynamic Therapy Services LLC

  dba Pivot Physical Therapy of Mid Atlantic, LLC

  • Physical Therapist
  • Seaford, DE
  • NPI 1205875093
  NPD (past)
• Dynamic Therapy Services, LLC

  • Occupational Therapist
  • Rehoboth Beach, DE
  • NPI 1225637051
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417974387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 DAYLILLY WAY",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095829",
            "telephone_number": "302-442-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091462",
            "telephone_number": "302-376-4315",
            "fax_number": "302-376-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESON",
        "first_name": "PAMELA",
        "middle_name": "DAWN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE000579L",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J20000612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Landers
• Kara Larson, PT, DPT
• Marilyn Lawson, LCSW-C
• Iveisse Lazzarini, OTD
• Kai Lee
• Marcella Legath, OTR/L
• Andrew Leitzke, D.C.
• Samantha Lenox, DPT
• Kylee Ann Leverage
• Jason Landon Levin, LCSW

• Physical Therapy Assistant in Middletown, DE
• Providers in Middletown, DE by specialty
• Physical Therapy Assistant in Delaware

• 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.

Verify at the official NPI Registry.