Active NPI
Stephen Leith
- Physical Therapy Assistant
- Independence, MO
National Provider Identifier
1588062871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2014002129
- Practice address
- 810 E Walnut St
Independence, MO 64050-4025 - Phone
- (816) 461-9600
- NPI assigned
- Dec 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2014002129 | MO | Primary |
Addresses
Primary practice location
810 E Walnut St
Independence, MO 64050-4025
Mailing address
810 E Walnut St
Independence, MO 64050-4025
Phone (816) 461-9600
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 |
|---|---|---|---|
| 2014002129 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1588062871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 E WALNUT ST",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640504025",
"telephone_number": "816-461-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E WALNUT ST",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640504025",
"telephone_number": "816-461-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITH",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-18",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2014002129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.