Active NPI
Leighanne Christine Perez, OTR/L
- Rehabilitation Clinic/Center
- San Antonio, TX
National Provider Identifier
1730594664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 116206
- Practice address
- 4600 Lockhill Selma Rd
San Antonio, TX 78249-2185 - Phone
- (210) 408-7300
- Fax
- (210) 408-7303
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 116206 | TX | Primary |
Addresses
Primary practice location
4600 Lockhill Selma Rd
San Antonio, TX 78249-2185
Mailing address
4600 Lockhill Selma Rd
San Antonio, TX 78249-2185
Phone (210) 408-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497038004 | Other | TX | SPECIALTY MIXED FACILITY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116206 | TX | MD | Rehabilitation Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1730594664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 LOCKHILL SELMA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492185",
"telephone_number": "210-408-7300",
"fax_number": "210-408-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 LOCKHILL SELMA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492185",
"telephone_number": "210-408-7300",
"fax_number": "210-408-7303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LEIGHANNE",
"middle_name": "CHRISTINE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "TX",
"license": "116206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIALTY MIXED FACILITY",
"identifier": "1497038004",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.