Individual provider Active NPI

Renee M. Leimgruber, PT

  • Physical Therapist
  • Lantana, FL
National Provider Identifier
1699890152
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22846 Issued in FL
Practice address
171 Las Brisas Cir
Lantana, FL 33462-7016
Phone
(561) 533-0270
Fax
(561) 533-8120
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT22846 FL Primary

Addresses

Primary practice location

171 Las Brisas Cir
Lantana, FL 33462-7016

Mailing address

171 Las Brisas Cir
Lantana, FL 33462-7016
Phone (561) 533-0270

Other identifiers 1

IdentifierTypeStateIssuer
PT22846OtherFL17

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT22846FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699890152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 LAS BRISAS CIR",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334627016",
            "telephone_number": "561-533-0270",
            "fax_number": "561-533-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LAS BRISAS CIR",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334627016",
            "telephone_number": "561-533-0270",
            "fax_number": "561-533-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIMGRUBER",
        "first_name": "RENEE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "17",
            "identifier": "PT22846",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.