Stephen Micheal Leary, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4885 Issued in OR

Practice address

147 SW Shevlin Hixon Dr
Suite 104
Bend, OR 97702-3130

Phone

(541) 312-2252

NPI assigned

May 2, 2007

Last updated

Mar 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Hands on Physical Therapy, PCGroup PAC ID 9537173034, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hands on Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Bend, OR
  • NPI 1912129073
  Medicare reassignment Care Compare group NPD
• Sarah Peterson LCSW LLC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1316503105
  NPD
• Blair Investments Inc

  dba Hands On Physical Therapy

  • Physical Therapy Clinic/Center
  • Cheyenne, WY
  • NPI 1912052242

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1548482672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19570 BALL BUTTE CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029148",
            "telephone_number": "541-312-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SW SHEVLIN HIXON DR",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023130",
            "telephone_number": "541-312-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "STEPHEN",
        "middle_name": "MICHEAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "4885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE PIN",
            "identifier": "J6507-02",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "840573000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Allen LCSW LLC (New Moon Counseling Collective)
• Leah B. Schock PHD, LLC
• Cassandra Elaine Leahy, M.S. CCC-SLP
• Anne Leander
• Kimberlee Diane Lear
• Jennifer Leaver-Noble, LPC
• Crystal Lynnette Leavitt, LPC
• Thomas Leland Leavitt, NP
• Jessica L. Leblanc, MD
• Megan Lee Ledyard, PT

• Orthopedic Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.