Individual provider Active NPI

Leah Marie Havill, PT

  • Physical Therapist
  • Niagara Falls, NY
National Provider Identifier
1710051453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0276251 Issued in NY
Practice address
256 Third Street
Suite 32
Niagara Falls, NY 14303-1231
Phone
(716) 282-2888
Fax
(716) 285-1281
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

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 0276251 NY Primary

Addresses

Primary practice location

256 Third Street
Suite 32
Niagara Falls, NY 14303-1231

Mailing address

256 Third Street
Suite 32
Niagara Falls, NY 14303-1231
Phone (716) 282-2888

Other identifiers 3

IdentifierTypeStateIssuer
000628315001OtherNYBCBS
9313234OtherNYIHA INDEPENDENT HEALTH
02730418MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0276251NYMDPhysical Therapist
027625NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Physical Therapy Aquatics and Fitness PC Physical Therapist PastSince Oct 1, 2001 Accepting new patients

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710051453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 THIRD STREET",
            "address_2": "SUITE 32",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031231",
            "telephone_number": "716-282-2888",
            "fax_number": "716-285-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 THIRD STREET",
            "address_2": "SUITE 32",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031231",
            "telephone_number": "716-282-2888",
            "fax_number": "716-285-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVILL",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0276251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000628315001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA INDEPENDENT HEALTH",
            "identifier": "9313234",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02730418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

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.