Active NPI
Leah Marie Havill, PT
- Physical Therapist
- Niagara Falls, NY
National Provider Identifier
1710051453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0276251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000628315001 | Other | NY | BCBS |
| 9313234 | Other | NY | IHA INDEPENDENT HEALTH |
| 02730418 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0276251 | NY | MD | Physical Therapist |
| 027625 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care Physical Therapy Aquatics and Fitness PC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Niagara Falls, NY
- NPI 1891883385
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.