Active NPI
Leah Kimberly Keating, PHYSICAL THERAPIST
- Physical Therapist
- South Lyon, MI
National Provider Identifier
1457426108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501008590
- Practice address
- 301 S Lafayette St
South Lyon, MI 48178-1407 - Phone
- (248) 486-1110
- Fax
- (248) 486-3318
- NPI assigned
- Nov 21, 2006
- 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 | 5501008590 | MI | Primary |
Addresses
Primary practice location
301 S Lafayette St
South Lyon, MI 48178-1407
Mailing address
12810 10 Mile Rd
South Lyon, MI 48178-9186
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457426108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12810 10 MILE RD",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481789186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S LAFAYETTE ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481781407",
"telephone_number": "248-486-1110",
"fax_number": "248-486-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATING",
"first_name": "LEAH",
"middle_name": "KIMBERLY",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501008590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lyon, MI
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.