Kenneth Aiden Leacock, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

007365 Issued in NY

Practice address

233 W 139TH St
New York, NY 10030-2104

Phone

(212) 283-6095

Fax

(212) 283-6095

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affinity Rehabilitation LLPGroup PAC ID 4789843376, 114 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.

• Affinity Rehabilitation LLP

  • Physical Therapy Clinic/Center
  • Dewitt, NY
  • NPI 1346530169
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730166398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W 139TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302104",
            "telephone_number": "212-283-6095",
            "fax_number": "212-234-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W 139TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302104",
            "telephone_number": "212-283-6095",
            "fax_number": "212-283-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACOCK",
        "first_name": "KENNETH",
        "middle_name": "AIDEN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "007365",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "007365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.T. LICENCE",
            "identifier": "007365",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori-Ann Diandra Leach, M.B.B.S.
• Michelle Elizabeth Leach, MS, OTR/L
• Nicole Leach
• Tanya Lynne Leach, JD, LP, NCPSYA
• Tyla Sade Leach, CNM
• Lead by Example, Reverse the Trend
• Lead by Example, Reverse the Trend
• Sean T Leadem, PHD
• Avi Philip Sendzul Leader, MD
• Howard Leaf, M.D.

• Orthopedic Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.