Active NPI
Leah Thoma
- Rehabilitation Practitioner
- West Allis, WI
National Provider Identifier
1780066720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- T5005259283800
- Practice address
- 2222 S 114TH St
West Allis, WI 53227-1031 - Phone
- (414) 449-4444
- NPI assigned
- Jun 26, 2015
- 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 Practitioner | 225400000X | T5005259283800 | WI | Primary |
Addresses
Primary practice location
2222 S 114TH St
West Allis, WI 53227-1031
Mailing address
W2604 Oakmeadow CT
Appleton, WI 54915-8750
Phone (920) 841-1530
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 |
|---|---|---|---|
| T5005259283800 | WI | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1780066720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W2604 OAKMEADOW CT",
"city": "APPLETON",
"state": "WI",
"postal_code": "549158750",
"telephone_number": "920-841-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S 114TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532271031",
"telephone_number": "414-449-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMA",
"first_name": "LEAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "WI",
"license": "T5005259283800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.