Individual provider Active NPI

Leann J Valerius, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1639426190
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4584 Issued in OK
Practice address
3705 W Memorial Rd
Suite 310
Oklahoma City, OK 73134-1512
Phone
(405) 749-6281
Fax
(405) 936-6496
NPI assigned
Aug 14, 2012
Last updated
Apr 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4584 OK Primary

Addresses

Primary practice location

3705 W Memorial Rd
Suite 310
Oklahoma City, OK 73134-1512

Mailing address

3705 W Memorial Rd
Suite 310
Oklahoma City, OK 73134-1512
Phone (405) 749-6281

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13988WIMDPharmacist
4584OKMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1639426190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 W MEMORIAL RD",
            "address_2": "SUITE 310",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341512",
            "telephone_number": "405-749-6281",
            "fax_number": "405-936-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 W MEMORIAL RD",
            "address_2": "SUITE 310",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341512",
            "telephone_number": "405-749-6281",
            "fax_number": "405-936-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIUS",
        "first_name": "LEANN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.