Individual provider Active NPI

Richard Scott Leichter, MA,PT

  • Physical Therapist
  • Mount Sinai, NY
National Provider Identifier
1417986969
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015547 Issued in NY
Practice address
28 N Country Rd
104
Mount Sinai, NY 11766-1518
Phone
(631) 331-6047
Fax
(631) 331-7953
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 015547 NY Primary

Addresses

Primary practice location

28 N Country Rd
104
Mount Sinai, NY 11766-1518

Mailing address

81 Tallmadge TRL
Miller Place, NY 11764-2327
Phone (631) 473-6418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001865 NY Practitioner - Physical Therapist in Private Practice 5991790529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 N Country Rd
Suite 104
Mount Sinai, NY 11766-1518
Phone (631) 331-6047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy of Ny, P.C. CurrentSince Dec 4, 2006 Accepting new patients
Port Jefferson Physical Therapy PC PastSince Feb 1, 2008 Accepting new patients

Locations

28 N Country Rd
Ste 104
Mount Sinai, NY 11766
Phone (631) 331-6047

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417986969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 TALLMADGE TRL",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642327",
            "telephone_number": "631-473-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N COUNTRY RD",
            "address_2": "104",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661518",
            "telephone_number": "631-331-6047",
            "fax_number": "631-331-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHTER",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MA,PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sinai, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.