Katherine Jane Leary, BS, PHYSICAL THERAPY
Individual provider Active NPI Physical Therapist · Windsor, VT
NPI 1679701726 · NPPES record last updated Jun 29, 2009
Key facts
- NPI
- 1679701726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 040-0002315 (VT)
- Practice address
- 233 Back Mountain Rd
Windsor, VT 05089-9333 - Phone
- (802) 674-2320
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040-0002315 | VT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040-0002315 | VT | Yes |
Addresses
Primary practice location
233 Back Mountain Rd
Windsor, VT 05089-9333
Mailing address
233 Back Mountain Rd
Windsor, VT 05089-9333
Phone (802) 674-2320
Other providers in Windsor, VT
- Anne Marie Kelly
- Jeffrey R King
- Cynthia Jean Koch
- Maryann Lachapelle
- Peter Gilbert Lapre
- Ivan Levin
- Alan Lovell
- Patrick Lyons
- Katherine A Macko
- Richard A Marasa
All providers in Windsor, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.