Individual provider Active NPI

Joshua Dale Leatherman, DPT

  • Physical Therapist
  • Harleysville, PA
National Provider Identifier
1700170990
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60266156 Issued in WA
Practice address
348 Moyer Rd
Harleysville, PA 19438-2313
Phone
(267) 640-5773
NPI assigned
Jun 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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 PT60266156 WA Primary

Addresses

Primary practice location

348 Moyer Rd
Harleysville, PA 19438-2313

Mailing address

348 Moyer Rd
Harleysville, PA 19438-2313
Phone (267) 640-5773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204002543 WA Practitioner - Physical Therapist in Private Practice 1850638545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services - WashingtonGroup PAC ID 2860552973, 266 clinicians

Practice addresses (Care Compare)

340 S Park St
Walla Walla, WA 99362-3249
Phone (509) 897-2119

380 Chase Ave
Walla Walla, WA 99362-2924
Phone (509) 897-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60266156WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington CurrentSince Jan 5, 2019 Accepting new patients
Providence Health & Services - Washington Physical Therapist CurrentSince Jan 5, 2019 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

340 S Park St
Walla Walla, WA 99362
Phone (509) 525-8863

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

1025 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 525-0480

Organizations & group practices 3

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": "1307232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1700170990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MOYER RD",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382313",
            "telephone_number": "267-640-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MOYER RD",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382313",
            "telephone_number": "267-640-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERMAN",
        "first_name": "JOSHUA",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-05",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60266156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.