Carrissa D Leimbach, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2128538 Issued in TX

Practice address

810 Industrial Ave
Copperas Cove, TX 76522-1722

Phone

(254) 542-0114

NPI assigned

Aug 28, 2018

Last updated

Aug 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1700367612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 INDUSTRIAL AVE",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765221722",
            "telephone_number": "254-542-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 INDUSTRIAL AVE",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765221722",
            "telephone_number": "254-542-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIMBACH",
        "first_name": "CARRISSA",
        "middle_name": "D",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2128538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Robert Krauser III, DDS
• Shashi Prabha Kumar, DDS
• Nancy Jean Kummer, LMT
• Brandi Labonte
• Michelle Denise Landers, OTR
• Molly Jo Leitnaker, P.A.
• Alyssa Esperanza Leverett, SLP-ASSISTANT
• Jamisha Levery
• Elodie Levy
• Kragen Deshawn Lewis, DPT

• Physical Medicine & Rehabilitation Physician in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.