Individual provider Active NPI

Michele Lynn Leasure, P.T., OCS

  • Orthopedic Physical Therapist
  • North Salem, NY
National Provider Identifier
1467591388
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
018914-1 Issued in NY
Practice address
56 June Road
North Salem, NY 10560
Phone
(914) 669-9085
Fax
(914) 669-9095
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 018914-1 NY Primary

Addresses

Primary practice location

56 June Road
North Salem, NY 10560

Mailing address

PO Box 662
North Salem, NY 10560-0662
Phone (914) 669-9085

Other names 1

  • Michele Leasure Altemus Former name

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

State licenses

LicenseStateTypeSpecialty
018914-1NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467591388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105600662",
            "telephone_number": "914-669-9085",
            "fax_number": "914-669-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 JUNE ROAD",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "10560",
            "telephone_number": "914-669-9085",
            "fax_number": "914-669-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEASURE",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "P.T., OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "018914-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "ALTEMUS",
            "middle_name": "LEASURE",
            "credential": "P.T., OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Salem, NY

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.

Verify at the official NPI Registry.