Riggolette A. Leeper, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8642 Issued in GA

Practice address

3760 Lavista Rd
Suite 102
Tucker, GA 30084-5615

Phone

(404) 248-0415

Fax

(404) 248-0422

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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 and National Provider Directory roles.

• Empowerme Rehabilitation Georgia, LLC

  • Multi-Specialty Clinic/Center
  • Cumming, GA
  • NPI 1952934374

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669537650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 STRATFORD CMNS",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300337442",
            "telephone_number": "404-248-0415",
            "fax_number": "404-248-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 LAVISTA RD",
            "address_2": "SUITE 102",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845615",
            "telephone_number": "404-248-0415",
            "fax_number": "404-248-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEPER",
        "first_name": "RIGGOLETTE",
        "middle_name": "A.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "8642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "579040250A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chae Eun Lee, GNP
• Kil Boo Lee, M.D.
• Michelle Lee, DMD
• Sharon Elizabeth Lee, MFT, LPC
• Tammera Lee, LPC
• Legacy Brain & Spine LLC (Legacy Brain & Spine LLC - Tucker)
• Legacy Chiropractic, Inc.
• Legacy Chiropractic, Inc.
• Sharon R Lehman, MD
• Leigh Enterprises

• Physical Therapist in Tucker, GA
• Providers in Tucker, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.