Individual provider Active NPI

Leon David Wolff, PT, CHT

  • Physical Therapist
  • Ithaca, NY
National Provider Identifier
1689862583
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026163 Issued in NY
Practice address
409 E Upland Rd Ste 103a
Ithaca, NY 14850-2587
Phone
(607) 229-2165
NPI assigned
Oct 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 026163 NY Primary

Addresses

Primary practice location

409 E Upland Rd Ste 103a
Ithaca, NY 14850-2587

Mailing address

409 E Upland Rd Ste 103a
Ithaca, NY 14850-2587
Phone (607) 229-2165

Other practice location 1

903 Hanshaw Rd Ste 5
Ithaca, NY 14850-1530
Phone (607) 229-2165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000326 NY Practitioner - Physical Therapist in Private Practice 0244327260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

409 E Upland Rd
Suite 103a
Ithaca, NY 14850-2587
Phone (607) 229-2165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Hand & Physical Therapy PC Physical Therapist CurrentSince Jan 29, 2016 Accepting new patients

Locations

903 Hanshaw Rd
Ste 5
Ithaca, NY 14850
Phone (607) 229-2165

409 E Upland Rd
Ste 103A
Ithaca, NY 14850
Phone (607) 229-2165

903 Hanshaw Rd
Ithaca, NY 14850
Phone (607) 229-2165

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.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1689862583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E UPLAND RD STE 103A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502587",
            "telephone_number": "607-229-2165",
            "fax_number": "607-793-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E UPLAND RD STE 103A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502587",
            "telephone_number": "607-229-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Hanshaw Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148501530",
            "country_code": "US",
            "telephone_number": "607-229-2165",
            "fax_number": "607-793-9497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "LEON",
        "middle_name": "DAVID",
        "credential": "PT, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.