NPIMap

Organization Active NPI

Leaps and Bounds Pediatric Therapy, P.C.

  • Orthopedic Physical Therapist
  • Lincoln, NE
National Provider Identifier
1689817744
Registry record updated Nov 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2418 Issued in NE
Legal business name
LEAPS AND BOUNDS PEDIATRIC THERAPY, P.C.
Practice address
4640 Bair Ave
Suite 107
Lincoln, NE 68504-1183
Phone
(402) 742-7400
Fax
(402) 742-9592
NPI assigned
Apr 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2013

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

Authorized official

Name
Mrs. Brandy M Escamilla, DPTNPI 1881629004
Title
Vice President/Secretary
Phone
(402) 742-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 2418 NE Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 1416 NE
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 290 NE

Addresses

Primary practice location

4640 Bair Ave
Suite 107
Lincoln, NE 68504-1183

Mailing address

4640 Bair Ave
Suite 107
Lincoln, NE 68504-1183
Phone (402) 742-7400

Other identifiers 3

IdentifierTypeStateIssuer
10026285000-OTMedicaidNE
10026284900-STMedicaidNE
10026285100-PTMedicaidNE

National Provider Directory

National Provider Directory

Locations

4640 Bair Ave
Ste 107
Lincoln, NE 68504
Phone (402) 742-7400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385683200000",
    "number": "1689817744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 BAIR AVE",
            "address_2": "SUITE 107",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041183",
            "telephone_number": "402-742-7400",
            "fax_number": "402-742-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 BAIR AVE",
            "address_2": "SUITE 107",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041183",
            "telephone_number": "402-742-7400",
            "fax_number": "402-742-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS AND BOUNDS PEDIATRIC THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-19",
        "last_updated": "2013-11-29",
        "status": "A",
        "authorized_official_last_name": "ESCAMILLA",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "402-742-7400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "2418",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NE",
            "license": "1416",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026285000-OT",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026284900-ST",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026285100-PT",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.