Jessica Renee Leach, PT, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT3399 Issued in AR

Practice address

3480 Landers Rd
North Little Rock, AR 72117

Phone

(501) 955-5519

Fax

(501) 955-5529

NPI assigned

Sep 15, 2011

Last updated

Jan 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthoarkansas PAGroup PAC ID 1456256031, 148 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.leach.1@1376.direct.athenahealth.com

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

• Orthoarkansas, PA

  • Specialist
  • Little Rock, AR
  • NPI 1952336869
  Medicare reassignment Care Compare group NPD
• Orthoarkansas, PA

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Little Rock, AR
  • NPI 1861459315
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1518249564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FAIR PARK BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041720",
            "telephone_number": "501-978-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 LANDERS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-955-5519",
            "fax_number": "501-955-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Fair Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722041720",
            "country_code": "US",
            "telephone_number": "501-604-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AR",
            "license": "PT3399",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "447",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213203721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry J Bell D.C., P.a. (Bell Chiropractic Clinic)
• Caroline Elizabeth Latture, RBT
• Lawrence C. Ault,III, M.D. PA (Arkansas Pain Medicine)
• Kaelyn Eve Lay, MSN, APRN
• Teresa Le, MD
• Carlee Irene Leatherman, OTD, OTR
• Catherine Lee, PHARMACIST
• Howard H. Lee, C.PED.,LO
• Sherita Lee, PMHNP-BC, FNP-C
• Lee's Medical Practice and Consulting, LLC

• Orthopedic Physical Therapist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Orthopedic Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.