Active NPI
Gregory Leimkuehler, CPO
- Prosthetist
- Cleveland, OH
National Provider Identifier
1487452454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 00287
- Practice address
- 4625 Detroit Ave
Cleveland, OH 44102-2295 - Phone
- (216) 651-7788
- Fax
- (216) 651-4057
- NPI assigned
- Mar 5, 2025
- Last updated
- Mar 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 00287 | OH | |
| Prosthetist | 224P00000X | 00287 | OH | Primary |
Addresses
Primary practice location
4625 Detroit Ave
Cleveland, OH 44102-2295
Mailing address
4625 Detroit Ave
Cleveland, OH 44102-2295
Phone (216) 651-7788
Other practice location 1
5403 Mayfield Rd
Lyndhurst, OH 44124-2911
Phone (440) 442-0454
Other practice location 2
6478 Royalton Rd
North Royalton, OH 44133-4924
Phone (440) 582-8000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00287 | OH | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1487452454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441022295",
"telephone_number": "216-651-7788",
"fax_number": "216-651-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441022295",
"telephone_number": "216-651-7788",
"fax_number": "216-651-4057"
}
],
"practiceLocations": [
{
"address_1": "5403 Mayfield Rd",
"address_purpose": "LOCATION",
"city": "Lyndhurst",
"state": "OH",
"postal_code": "441242911",
"country_code": "US",
"telephone_number": "440-442-0454",
"fax_number": "440-442-0597",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6478 Royalton Rd",
"address_purpose": "LOCATION",
"city": "North Royalton",
"state": "OH",
"postal_code": "441334924",
"country_code": "US",
"telephone_number": "440-582-8000",
"fax_number": "440-582-0831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEIMKUEHLER",
"first_name": "GREGORY",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "OH",
"license": "00287",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "OH",
"license": "00287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.