Leaps Bounds Pediatric Physical Therapy of North Shore LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

LEAPS BOUNDS PEDIATRIC PHYSICAL THERAPY OF NORTH SHORE LLC

Practice address

1550 Richmond Ave Ste 206
Staten Island, NY 10314-1578

Phone

(718) 477-1911

Fax

(718) 477-1971

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Jill Kissel, PT DPT PCS

Title

Owner

Phone

(917) 647-5275

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1689431280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 RICHMOND AVE STE 206",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141578",
            "telephone_number": "718-477-1911",
            "fax_number": "718-477-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RICHMOND AVE STE 206",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141578",
            "telephone_number": "718-477-1911",
            "fax_number": "718-477-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS BOUNDS PEDIATRIC PHYSICAL THERAPY OF NORTH SHORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "KISSEL",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-647-5275",
        "authorized_official_credential": "PT DPT PCS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Leahy
• Jackie Leaks
• Remilee Escarilla Leano, RPT
• Leanwell
• Leaps and Bounds PT
• Learning Advantage Inc
• Learning Solutions Inc.
• Erica Learning
• Brandon Leary
• Joann E Leather, LCSW

• Pediatric Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.