Individual provider Active NPI

Gregory Leimkuehler, CPO

  • Prosthetist
  • Cleveland, OH
National Provider Identifier
1487452454
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
00287 Issued in OH
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
00287OHMDProsthetist

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.

Verify at the official NPI Registry.