Individual provider Active NPI

Leah Lacy, PT, DPT

  • Physical Therapist
  • Shelbyville, KY
National Provider Identifier
1497236806
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004534 Issued in KY
Practice address
140 Stonecrest Rd
Shelbyville, KY 40065-8142
Phone
(502) 647-1025
NPI assigned
Aug 23, 2018
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004534 KY Primary

Addresses

Primary practice location

140 Stonecrest Rd
Shelbyville, KY 40065-8142

Mailing address

140 Stonecrest Rd
Shelbyville, KY 40065-8142

Other practice location 1

450 Dean Taylor Ct
Simpsonville, KY 40067-6562
Phone (502) 593-3141

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
004534KYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1497236806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 STONECREST RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STONECREST RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658142",
            "telephone_number": "502-647-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Dean Taylor Ct",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "KY",
            "postal_code": "400676562",
            "country_code": "US",
            "telephone_number": "502-593-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACY",
        "first_name": "LEAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.