Leo R Credit Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1116 Issued in ME

Practice address

6 Turnpike Acres Rd
Gray, ME 04039-9432

Phone

(207) 657-5600

Fax

(207) 657-5620

NPI assigned

May 25, 2006

Last updated

Mar 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kinetic Gray Physical Therapy LLC

  dba Gray Physical Therapy LLC

  • Physical Therapist
  • Gray, ME
  • NPI 1053143420
  Medicare reassignment NPD
• Gray Physical Therapy Center, PA

  • Physical Therapist
  • Gray, ME
  • NPI 1861449811
  NPD Authorized official
• Premier Physical Therapy, LLC

  • Physical Therapist
  • Bridgton, ME
  • NPI 1720035371
  NPD Authorized official
• Premier Physical Therapy-Midcoast, LLC

  • Physical Therapist
  • Brunswick, ME
  • NPI 1609823756
  NPD (past) Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1477509115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040391047",
            "telephone_number": "207-657-5600",
            "fax_number": "207-657-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TURNPIKE ACRES RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399432",
            "telephone_number": "207-657-5600",
            "fax_number": "207-657-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREDIT",
        "first_name": "LEO",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Aaron Counseling Center
• Christopher Aaron Counseling Center LLC
• Robert Church, RPH
• Judith Colby-Walker, MCSW
• Jonathan F Cook, OD
• Kristen Curley, LMT
• Brittany Demmons
• Amanda Dibiase
• Chris Jerome Dombrowski, D.C.
• Frances P Dombrowski, D.C.

• Physical Therapist in Gray, ME
• Providers in Gray, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.