Active NPI
Leah Brooke Pambianco, DPT
- Physical Therapist
- Berwick, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025020
- Practice address
- 1222 W Front St
Berwick, PA 18603-4402 - Phone
- (570) 752-7762
- NPI assigned
- Feb 5, 2016
- 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 | PT025020 | PA | Primary |
Addresses
Primary practice location
1222 W Front St
Berwick, PA 18603-4402
Mailing address
17 Stoneledge LN
Sweet Valley, PA 18656-2542
Phone (570) 574-6306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160315000135 | PA | Practitioner - Physical Therapist in Private Practice | 7719283977 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Derek Enterprises LLCSteffie Enterprises, Inc
Practice addresses (Care Compare)
106 Rotary Dr
West Hazleton, PA 18202-1182
Phone (570) 459-6333
1222 W Front St
Berwick, PA 18603-4402
Phone (570) 752-7762
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT025020 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steffie Enterprises, Inc | Physical Therapist | Current | Accepting new patients |
| Dylan RC Enterprises Inc | Physical Therapist | Current | Accepting new patients |
| Derek Enterprises LLC | Physical Therapist | Current | Accepting new patients |
| Alycam Inc | Physical Therapist | Current | Accepting new patients |
Locations
1222 W Front St
Berwick, PA 18603
Phone (570) 752-7762
1150 Old Berwick Rd
Bloomsburg, PA 17815
Phone (570) 784-2002
87 Oxford St
Hanover Township, PA 18706
Phone (570) 387-2202
693 Main St
New Milford, PA 18834
Phone (570) 465-2027
106 Rotary Dr
West Hazleton, PA 18202
Phone (570) 455-2286
1086 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 823-7761
Organizations & group practices 4
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": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1740648633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 STONELEDGE LN",
"city": "SWEET VALLEY",
"state": "PA",
"postal_code": "186562542",
"telephone_number": "570-574-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 W FRONT ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186034402",
"telephone_number": "570-752-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAMBIANCO",
"first_name": "LEAH",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwick, PA
- Osman Medical Care, PLLC
- Osman Elnour Bahar Osman, M.D.
- Nolan William Ott, PHARMD
- William Leonard Padner III, D.M.D.
- Stacie A Palermo, PTA
- Paradigm Emergency Physicians, LLC
- Pennsylvania CVS Pharmacy, L,L,C,
- Arielle Dawn Perry, LCSW
- Phoenix Rehabilitation and Health Services, Inc.
- Kiersten Pierce, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.