Individual provider Active NPI

Leah Jayne Giaquinta, PT

  • Physical Therapist
  • Kentwood, MI
National Provider Identifier
1699886333
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007800A Issued in IN
Practice address
2591 44TH St SE Ste 101
Kentwood, MI 49512-9094
Phone
(616) 281-9237
Fax
(616) 281-3115
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501011912 MI
Physical Therapist 225100000X 05007800A IN Primary

Addresses

Primary practice location

2591 44TH St SE Ste 101
Kentwood, MI 49512-9094

Mailing address

2591 44TH St SE Ste 101
Kentwood, MI 49512-9094
Phone (616) 281-9237

Other names 1

  • Leah Williams Former name

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

State licenses

LicenseStateTypeSpecialty
05007800AINMDPhysical Therapist
5501011912MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Indiana LLC Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
Benchmark Physical Therapy Indiana LLC Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates, Inc. Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

474 W Plaza Dr
Columbia City, IN 46725
Phone (260) 244-8009

1035 W Eads Pkwy
Lawrenceburg, IN 47025
Phone (812) 577-0921

1316 Minnich Rd
New Haven, IN 46774
Phone (260) 748-4864

2620 Conner St
Noblesville, IN 46060
Phone (317) 770-9003

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1699886333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 44TH ST SE STE 101",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129094",
            "telephone_number": "616-281-9237",
            "fax_number": "616-281-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 44TH ST SE STE 101",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129094",
            "telephone_number": "616-281-9237",
            "fax_number": "616-281-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAQUINTA",
        "first_name": "LEAH",
        "middle_name": "JAYNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011912",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007800A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.