Amy Lynne Leiseth, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4870576-2401 Issued in UT

Practice address

5770 Fashion Blvd
Murray, UT 84107-6548

Phone

(801) 314-2094

NPI assigned

Mar 13, 2007

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

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ihc Health Services Inc

  • Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033822085

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Brian J. Rodriguez, PT, PC

  • Physical Therapist
  • Murray, UT
  • NPI 1225219991
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700919354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12977 BROOK HAVEN CV",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208968",
            "telephone_number": "801-571-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 FASHION BLVD",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076548",
            "telephone_number": "801-314-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISETH",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "4870576-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lehmkuhl, M.D.
• Mary Kay Lehto, L.C.S.W.
• Harry Axel Leibovich Jr., BC-HIS
• Harry Axel Leibovich, BS, BC-HIS, ACA
• Richard Greg Leininger, M.D.
• John Walker Lelis, PA-C
• Malisa May Lemon, LCSW
• Blair E. Lenhan, MD
• Marianne Lentz
• Kyra Leonard, PHARMD

• Physical Therapist in Murray, UT
• Providers in Murray, UT by specialty
• Physical Therapist in Utah

• 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.
• 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.