Kodi Leithead

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2399 Issued in WY

Practice address

50 W 3Rd St
Sheridan, WY 82801-3606

Phone

(307) 672-2092

Fax

(307) 673-1969

NPI assigned

Jun 11, 2024

Last updated

Aug 28, 2024By the provider in NPPES

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

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sherwood Group IncGroup PAC ID 8426950767, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sherwood Group, Inc

  dba Sheridan Physical Therapy

  • Physical Therapist
  • Sheridan, WY
  • NPI 1346255130
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1619719499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 3RD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013606",
            "telephone_number": "307-672-2092",
            "fax_number": "307-673-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 3RD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013606",
            "telephone_number": "307-672-2092",
            "fax_number": "307-673-1969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 W Hart St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "WY",
            "postal_code": "828341738",
            "country_code": "US",
            "telephone_number": "307-684-8623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEITHEAD",
        "first_name": "KODI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanne Lederer, LPC
• Amy Nicole Ledoux, P.A.C
• Ryan Christopher Legler
• Alyssa Leight, LCSW
• Leilani Ray Cullen Ma LMFT
• Alyssa Lempka, FNP-C
• Beth A Lenz, M.ED, LPC
• Leroy Family Dental, PC
• Dana K Leroy, D.D.S.
• Johanna Lesiak

• Physical Therapist in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.