Jodie Leconche, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000859 Issued in CT

Practice address

181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111

Phone

(860) 667-5480

Fax

(860) 667-8416

NPI assigned

Nov 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eastern Rehabilitation Network Headache Clinic

  • Occupational Therapist
  • East Hartford, CT
  • NPI 1205042793
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578636262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 PATRICIA GENOVA DRIVE",
            "address_2": "EASTERN REHABILITATION NETWORK (5TH FLOOR)",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-667-5480",
            "fax_number": "860-667-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 PATRICIA GENOVA DRIVE",
            "address_2": "EASTERN REHABILITATION NETWORK (5TH FLOOR)",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-667-5480",
            "fax_number": "860-667-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECONCHE",
        "first_name": "JODIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "000859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Stout Lawrence, MD
• Elaina Nicole Layden-Borrelli, LPC
• Carey Leckie, OT
• Paul J Leckowicz, DMD
• Walter John Leckowiczjr, DMD
• Deanna Lucia Lenihan, DPT
• Kevin Lennehan, DC
• Katarzyna Krystyna Lessard
• Renee Lessard, OT
• Allison Michelle Paquin Levine, PHARM.D., BCACP

• Physical Therapy Assistant in Newington, CT
• Providers in Newington, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.