Individual provider Active NPI

Leah Kay Dearman, P.T.

  • Physical Therapist
  • Clermont, FL
National Provider Identifier
1750685012
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 16809 Issued in FL
Practice address
290 Citrus Tower Blvd
Suite 108
Clermont, FL 34711-2783
Phone
(352) 242-9022
Fax
(352) 242-9044
NPI assigned
Dec 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2016

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 PT 16809 FL Primary

Addresses

Primary practice location

290 Citrus Tower Blvd
Suite 108
Clermont, FL 34711-2783

Mailing address

290 Citrus Tower Blvd
Suite 108
Clermont, FL 34711-2783
Phone (352) 242-9022

Other names 1

  • Mrs. Leah Kay Hennigh-Dearman Other name

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

LicenseStateTypeSpecialty
PT 16809FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1750685012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CITRUS TOWER BLVD",
            "address_2": "SUITE 108",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112783",
            "telephone_number": "352-242-9022",
            "fax_number": "352-242-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CITRUS TOWER BLVD",
            "address_2": "SUITE 108",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112783",
            "telephone_number": "352-242-9022",
            "fax_number": "352-242-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARMAN",
        "first_name": "LEAH",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 16809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "HENNIGH-DEARMAN",
            "middle_name": "KAY",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.