Leahy Prosthetics & Orthotics Inc

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CP2178 Issued in CA

Legal business name

LEAHY PROSTHETICS & ORTHOTICS INC

Practice address

630 Frederick St
Santa Cruz, CA 95062-2203

Phone

(831) 425-5900

Fax

(831) 425-0488

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Kevin M Leahy, CP

Title

Ceo

Phone

(831) 425-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578596128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-425-5900",
            "fax_number": "831-425-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622203",
            "telephone_number": "831-425-5900",
            "fax_number": "831-425-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAHY PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-425-5900",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "CP2178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRAL COAST ALLIANCE FO",
            "identifier": "XB0021780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Le
• Ngoc T Le, RPH
• Thanh Long Le
• Dayna Lea, M.A., MFT
• Rosalinda Taytayon Leach, LCSW
• Tiffany A Leamer, D.P.T
• Elaina Lease
• Amy May Lebichuck, LCSW
• Yalana Lebron
• Joyce Carey Leclair, MFT

• Prosthetist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.