Leah Avery, PT
Individual provider Active NPI Physical Therapist · Oshkosh, WI
NPI 1457028995 · NPPES record last updated Dec 9, 2025
Key facts
- NPI
- 1457028995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05014335A (IN)
- Practice address
- 631 Hazel St
Oshkosh, WI 54901-4600 - Phone
- (920) 252-4442
- NPI assigned
- Aug 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oasis Therapy Services LLC
Practice addresses (Care Compare)
631 Hazel St
Oshkosh, WI 54901-4600
Phone (920) 393-9998
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251114003587 | WI | Practitioner - Physical Therapist in Private Practice | 2567867872 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundance Rehabilitation LLC | Physical Therapist | Current |
Accepting new patients |
| Powerback Rehab | Current | Accepting new patients | |
| Oasis Therapy Services LLC | Physical Therapist | Current |
Accepting new patients |
Locations
8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442
6109 Braun Rd
Mount Pleasant, WI 53403
Phone (262) 484-4724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05014335A | IN | Yes |
Addresses
Primary practice location
631 Hazel St
Oshkosh, WI 54901-4600
Mailing address
631 Hazel St
Oshkosh, WI 54901-4600
Other providers in Oshkosh, WI
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc.
- Aurora Vision Center
- Kathryn Austin
- Constance Avecilla
- Joseph Babiak
- Badger Pura Vida LLC
- Kelly T Badger
- Lee Robert Baerwald
- Christine A Baganz
All providers in Oshkosh, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.