Individual provider Active NPI

Leanne Homza

  • Physical Therapist
  • Jamestown, NY
National Provider Identifier
1700216702
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044959-01 Issued in NY
Practice address
207 Foote Aveune
Jamestown, NY 14701-7007
Phone
(716) 664-8278
NPI assigned
Nov 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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 2305208335 VA
Physical Therapist 225100000X 044959-01 NY Primary

Addresses

Primary practice location

207 Foote Aveune
Jamestown, NY 14701-7007

Mailing address

3500 Meekins Dr
Fredericksburg, VA 22407-4894

Other practice location 1

3500 Meekins Dr
Fredericksburg, VA 22407-4894
Phone (540) 786-1789

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625002861 NY Practitioner - Physical Therapist in Private Practice 8820531304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fredonia Physical Therapy, PLLCGroup PAC ID 1951484484, 3 clinicians

Practice addresses (Care Compare)

12 Brigham Rd
Fredonia, NY 14063-1004
Phone (716) 679-7447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044959-01NYMDPhysical Therapist
2305208335VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fredonia Physical Therapy, PLLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

12 Brigham Rd
Fredonia, NY 14063
Phone (716) 672-2592

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": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1700216702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MEEKINS DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVEUNE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017007",
            "telephone_number": "716-664-8278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Meekins Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224074894",
            "country_code": "US",
            "telephone_number": "540-786-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMZA",
        "first_name": "LEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208335",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044959-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.