Individual provider Active NPI

Kathleen C Leahy, DO

  • Physical Medicine & Rehabilitation Physician
  • Bedford, NH
National Provider Identifier
1609805076
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
9776 Issued in NH
Practice address
9 Washington PL Ste 201
Bedford, NH 03110-6750
Phone
(603) 644-5133
Fax
(603) 644-3086
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 9776 NH Primary

Addresses

Primary practice location

9 Washington PL Ste 201
Bedford, NH 03110-6750

Mailing address

166 S River Rd
Bedford, NH 03110-6928
Phone (603) 644-5133

Other identifiers 1

IdentifierTypeStateIssuer
30009687MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000749 NH Practitioner - Physical Medicine and Rehabilitation 8022038934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Betternow PLLCGroup PAC ID 0547625089, 7 clinicians

Practice addresses (Care Compare)

109 Ponemah Rd
Suite a
Amherst, NH 03031-2834
Phone (800) 603-8026

Hospital & facility affiliations

  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9776NHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Betternow PLLC CurrentSince Jun 3, 2023 Accepting new patients
Lewis Physicial Medicine Associates PA Physical Medicine & Rehabilitation CurrentSince Jul 3, 1996 Accepting new patients

Locations

109 Ponemah Rd
Ste A
Amherst, NH 03031
Phone (603) 673-0782

109 Ponemah Rd
Ste E
Amherst, NH 03031

9 Washington Pl
Ste 201
Bedford, NH 03110
Phone (603) 367-3064

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1609805076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106928",
            "telephone_number": "603-644-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON PL STE 201",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106750",
            "telephone_number": "603-644-5133",
            "fax_number": "603-644-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "KATHLEEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NH",
            "license": "9776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009687",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.