Marissa Joy Leydig, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023038 Issued in PA

Practice address

9709 Lincoln Hwy
Bedford, PA 15522-3717

Phone

(814) 652-3220

Fax

(814) 652-3230

NPI assigned

Aug 6, 2013

Last updated

Sep 21, 2023By 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 1

Addresses

Other names 1

• Miss Marissa Joy Buterbaugh Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keystone Physical Therapy LLCGroup PAC ID 3072056571, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keystone Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Bedford, PA
  • NPI 1124887146

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Pittsburgh Care Partnership, Inc.

  • PACE Provider Organization
  • McKeesport, PA
  • NPI 1437205952
  NPD (past)

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1518399153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 SHORT CUT RD",
            "city": "ALUM BANK",
            "state": "PA",
            "postal_code": "155218661",
            "telephone_number": "814-977-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 LINCOLN HWY",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155223717",
            "telephone_number": "814-652-3220",
            "fax_number": "814-652-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1798 Plank Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Duncansville",
            "state": "PA",
            "postal_code": "166358389",
            "country_code": "US",
            "telephone_number": "814-696-3400",
            "fax_number": "814-696-3402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYDIG",
        "first_name": "MARISSA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CommunityLifeBedford@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "Community LIFE Center Direct Address",
            "address_1": "9709 Lincoln Hwy",
            "city": "Bedford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "155223717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "BUTERBAUGH",
            "middle_name": "JOY",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Bedford, PA
• Providers in Bedford, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.