Mitchell Leatherman, ASPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

TEI004386 Issued in PA

Practice address

800 Maple Ave
Harleysville, PA 19438-1032

Phone

(215) 256-9501

NPI assigned

Oct 25, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1497354963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST",
            "city": "RICHLANDTOWN",
            "state": "PA",
            "postal_code": "189551050",
            "telephone_number": "267-733-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAPLE AVE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381032",
            "telephone_number": "215-256-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERMAN",
        "first_name": "MITCHELL",
        "credential": "ASPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "TEI004386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mleatherman@symbria.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Maple Ave",
            "city": "Harleysville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194381032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet Landis, PMHNP, B.C.
• Sarah L Lang, LAPC
• Darcy Eleanor Latta, LMFT
• William Edward Laughlin, DPT
• Joshua Dale Leatherman, DPT
• Lederach Chiropractic LLC
• Suzanne Marie Leidy
• Eva Leven, PSYD
• Mee Kyung Lim, DMD
• Paul Link, DC

• Physical Medicine & Rehabilitation Physician in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.