Individual provider Active NPI

Erika Michelle Leeds, PT, DPT

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1780414607
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017176 Issued in GA
Practice address
601 Houze Way
Roswell, GA 30076-1478
Phone
(855) 362-3633
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 PT017176 GA Primary

Addresses

Primary practice location

601 Houze Way
Roswell, GA 30076-1478

Mailing address

7428 Ashley Shores Cir
Lake Worth, FL 33467-7618
Phone (561) 313-7243

Other practice location 1

1695 Marietta Blvd NW
Atlanta, GA 30318-3644
Phone (855) 362-3633

Other practice location 2

749 Moreland Ave SE Ste A103
Atlanta, GA 30316-7001
Phone (855) 362-3633

Other practice location 3

1777 Georgian Park
Peachtree City, GA 30269-6991
Phone (770) 233-1800

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

LicenseStateTypeSpecialty
PT017176GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressivehealth Rehabilitation Solutions, Inc Physical Therapist Past Accepting new patients
Progressivehealth Rehabilitation Solutions, Inc PastSince Jan 17, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1780414607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 ASHLEY SHORES CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677618",
            "telephone_number": "561-313-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HOUZE WAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761478",
            "telephone_number": "855-362-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 Marietta Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303183644",
            "country_code": "US",
            "telephone_number": "855-362-3633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "749 Moreland Ave SE Ste A103",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303167001",
            "country_code": "US",
            "telephone_number": "855-362-3633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 Georgian Park",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302696991",
            "country_code": "US",
            "telephone_number": "770-233-1800",
            "fax_number": "770-233-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "ERIKA",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.