Active NPI
Leonard Weise, PT
- Physical Therapist
- Olean, NY
National Provider Identifier
1528068491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005815
- Practice address
- 535 Main St
Olean, NY 14760-1513 - Phone
- (716) 372-0141
- Fax
- (716) 372-6421
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005815 | NY | Primary |
Addresses
Primary practice location
535 Main St
Olean, NY 14760-1513
Mailing address
535 Main St
Olean, NY 14760-1513
Phone (716) 372-0141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01122343 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005815-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1528068491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 MAIN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601513",
"telephone_number": "716-372-0141",
"fax_number": "716-372-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 MAIN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601513",
"telephone_number": "716-372-0141",
"fax_number": "716-372-6421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISE",
"first_name": "LEONARD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "005815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01122343",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.