Individual provider Active NPI

Leah Ann Sturtevant, P.T.

  • Physical Therapist
  • Ooltewah, TN
National Provider Identifier
1740303908
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8823 Production LN
Ooltewah, TN 37363-6511
Phone
(423) 238-7217
Fax
(423) 238-3473
NPI assigned
Apr 10, 2007
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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 NU Primary

Addresses

Primary practice location

8823 Production LN
Ooltewah, TN 37363-6511

Mailing address

689 Hospital Rd
Commerce, GA 30529-1146
Phone (706) 335-9300

Other identifiers 1

IdentifierTypeStateIssuer
0001739OtherGALICENSE#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325002889 GA Practitioner - Physical Therapist in Private Practice 8729501218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Hand and Physical Therapy ClinicGroup PAC ID 4981685187, 2 clinicians

Practice addresses (Care Compare)

1430 Five Forks Trickum Rd
Suite 210
Lawrenceville, GA 30044-8183
Phone (678) 377-1738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Hand and Physical Therapy Clinic Physical Therapist CurrentSince Dec 26, 2024 Accepting new patients
Meadows Clinic at Lawrenceville LLC Physical Therapist Past Accepting new patients

Locations

9700 Medlock Bridge Rd
Ste 150
Johns Creek, GA 30097
Phone (404) 271-8432

1430 Five Forks Trickum Rd
Lawrenceville, GA 30044

1430 Five Forks Trickum Rd
Ste 210
Lawrenceville, GA 30044
Phone (678) 377-1738

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1740303908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 HOSPITAL RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291146",
            "telephone_number": "706-335-9300",
            "fax_number": "706-335-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURTEVANT",
        "first_name": "LEAH",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "0001739",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.