Active NPI
Sally J Leduc, PT
- Physical Therapist
- Reno, NV
National Provider Identifier
1487732483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 231
- Practice address
- 1575 Robb Dr
#4
Reno, NV 89523-3746 - Phone
- (775) 827-3777
- Fax
- (775) 827-1013
- NPI assigned
- Nov 1, 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 | 231 | NV | Primary |
Addresses
Primary practice location
1575 Robb Dr
#4
Reno, NV 89523-3746
Mailing address
1575 Robb Dr Ste 4
Reno, NV 89523-3526
Phone (775) 827-3777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3416094 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0231 | NV | MD | Optometrist |
| 231 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1487732483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 ROBB DR STE 4",
"city": "RENO",
"state": "NV",
"postal_code": "895233526",
"telephone_number": "775-827-3777",
"fax_number": "775-827-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 ROBB DR",
"address_2": "#4",
"city": "RENO",
"state": "NV",
"postal_code": "895233746",
"telephone_number": "775-827-3777",
"fax_number": "775-827-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDUC",
"first_name": "SALLY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3416094",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.