Active NPI
Leandra Stuckey, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1558097998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 70.02517
- Practice address
- 355 E Erie St
Chicago, IL 60611-3167 - Phone
- (312) 238-1000
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- 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 | 70.02517 | IL | Primary |
Addresses
Primary practice location
355 E Erie St
Chicago, IL 60611-3167
Mailing address
222 E Pearson St Apt 2205
Chicago, IL 60611-2337
Phone (816) 868-6464
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lstuckey@sralab.org | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70.02517 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1558097998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 E PEARSON ST APT 2205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112337",
"telephone_number": "816-868-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 E ERIE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113167",
"telephone_number": "312-238-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEY",
"first_name": "LEANDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70.02517",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lstuckey@sralab.org",
"affiliation": "N",
"endpointDescription": "E-mail address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email Address",
"address_1": "355 E Erie St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606113167",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.