Organization Active NPI

Lea Medical Partners, LLC

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
National Provider Identifier
1750759098
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0059136 Issued in MD
Legal business name
LEA MEDICAL PARTNERS, LLC
Doing business as
Lea Medical Therapies
Practice address
1111 E Cold Spring LN
Baltimore, MD 21239-3932
Phone
(301) 495-3742
Fax
(300) 495-3743
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Dallas A Lea II, MD
Title
Owner
Phone
(301) 495-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X D0059136 MD Primary

Addresses

Primary practice location

1111 E Cold Spring LN
Baltimore, MD 21239-3932

Mailing address

1400 Spring St
Suite 400
Silver Spring, MD 20910-2735
Phone (301) 495-3742

Other names 1

  • Lea Medical Therapies Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1750759098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SPRING ST",
            "address_2": "SUITE 400",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102735",
            "telephone_number": "301-495-3742",
            "fax_number": "301-495-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393932",
            "telephone_number": "301-495-3742",
            "fax_number": "300-495-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA MEDICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "LEA",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-495-3742",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0059136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lea Medical Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.