Matthew Ryan Leonard, DPT, DC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2014027087 Issued in MO

Practice address

1043 E Osage St
Pacific, MO 63069-1710

Phone

(636) 356-5557

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Performance Health Care LLC

  • Sports Physician Chiropractor
  • Saint Louis, MO
  • NPI 1518273911
  NPD (past)
• Winchester Spine and Sport of Pacific-Eureka LLC

  • Chiropractor
  • Pacific, MO
  • NPI 1750766721
  NPD (past)
• Erin McQueen DC, LLC

  • Chiropractor
  • Greenfield, WI
  • NPI 1063899649
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1619182136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 E OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691710",
            "telephone_number": "636-356-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 E OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691710",
            "telephone_number": "636-356-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "DPT, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007011959",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014027087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Harvath, D.M.D.
• Healthy Balance Chiropractic and Acupuncture LLC
• Christina Marie Huff, D.C.
• Jane E Knerr
• Leo J Burke DDS PC
• Jeannine Lisa Liebmann, MA. LPC
• Tina Lusk, DNP, APRN, PMHNP-BC
• Debra Kay Lyons, LPC
• Kathleen McAuliffe, DPT
• Mary Melillo

• Physical Therapist in Pacific, MO
• Providers in Pacific, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.