Melissa Marie Leick, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11642-024 Issued in WI

Practice address

3415 N 127TH St
Brookfield, WI 53005-3117

Phone

(262) 781-8144

Fax

(262) 781-8552

NPI assigned

Sep 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Injury Rehabilitation Clinic II, Inc.Group PAC ID 3072412352, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Freeman Leick Physical Therapy

  • Physical Therapy Clinic/Center
  • Brookfield, WI
  • NPI 1619674702

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Injury Rehabilitation Clinic II, Inc.

  • Occupational Therapist
  • Brookfield, WI
  • NPI 1376648220
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1508147448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 N 127TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053117",
            "telephone_number": "262-781-8144",
            "fax_number": "262-781-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 N 127TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053117",
            "telephone_number": "262-781-8144",
            "fax_number": "262-781-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICK",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11642-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Scot Lehmann, PHD
• Walter Eugene Lehrer, DDS
• Mary C Lehrmann, M.D.
• Nicole Lehtinen, RD
• Katherine Helen Leibsle, MSW
• Jean M Lein, RN
• Margaret Leisten
• Melissa Leistikow, BCBA
• Vicki Lynn Leistikow, COTA
• Jose M Leiva, MD

• Physical Therapist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.