Active NPI
Azadeh Leland, PT
- Physical Therapist
- Gaithersburg, MD
National Provider Identifier
1679701833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16796
- Practice address
- 792 Raven Ave
Gaithersburg, MD 20877-3335 - Phone
- (301) 926-2597
- NPI assigned
- Jun 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16796 | MD | Primary |
Addresses
Primary practice location
792 Raven Ave
Gaithersburg, MD 20877-3335
Mailing address
792 Raven Ave
Gaithersburg, MD 20877-3335
Phone (301) 926-2597
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nisenfeld & Chilton, M.D., P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Frederick, MD
- NPI 1588634570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1679701833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 RAVEN AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208773335",
"telephone_number": "301-926-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "792 RAVEN AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208773335",
"telephone_number": "301-926-2597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LELAND",
"first_name": "AZADEH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.