Active NPI
Leean Margaret Hervey, DPT
- Physical Therapist
- South San Francisco, CA
National Provider Identifier
1497011175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36083
- Practice address
- 2747 Duhallow Way
South San Francisco, CA 94080-3833 - Phone
- (650) 745-8792
- NPI assigned
- Apr 6, 2012
- Last updated
- Apr 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 36083 | CA | Primary |
Addresses
Primary practice location
2747 Duhallow Way
South San Francisco, CA 94080-3833
Mailing address
2747 Duhallow Way
South San Francisco, CA 94080-3833
Phone (650) 745-8792
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 |
|---|---|---|---|
| 36083 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333670400000",
"number": "1497011175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2747 DUHALLOW WAY",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803833",
"telephone_number": "650-745-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2747 DUHALLOW WAY",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803833",
"telephone_number": "650-745-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERVEY",
"first_name": "LEEAN",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-06",
"last_updated": "2012-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.