Lakecia Leavy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17925 Issued in NC

Practice address

2304 W 95TH St
Chicago, IL 60643-1004

Phone

(773) 233-9570

Fax

(773) 233-9607

NPI assigned

Jul 25, 2011

Sex

Female

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.

• Healing Walls Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Calumet Park, IL
  • NPI 1881149383
  NPD Authorized official
• Accelerated Rehabilitation Centers, LTD

  • Physical Therapist
  • Roscoe, IL
  • NPI 1043604184
  NPD (past)
• The University of Chicago Medical Center

  • Community/Retail Pharmacy
  • Calumet City, IL
  • NPI 1255895678
  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1619255650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12905 S MAY ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276562",
            "telephone_number": "217-766-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431004",
            "telephone_number": "773-233-9570",
            "fax_number": "773-233-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVY",
        "first_name": "LAKECIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayes Allison Leaver, OTR/L
• Leavitt Healthcare and Diagnostic Inc
• Barry M Leavitt, PSYD
• Jacqueline Leavitt, M.D.
• Olga Sergeevna Leavitt, M.D.
• Stephen Leb
• Amy Lebailly, RN
• Phoebe Sebhatu Lebeau, PHARMD
• Robert Lebeau, BSPT
• Varvara Lebedeva

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.