Richard Leaver, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011119 Issued in MI

Practice address

1350 Kirts Blvd Ste 120
Troy, MI 48084-4851

Phone

(248) 519-4900

Fax

(248) 269-0385

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sports & Orthopedic Leaders Physical Therapy, Inc

  • Physical Therapist
  • Oakland, CA
  • NPI 1013981760
  Medicare reassignment NPD Authorized official
• Border Therapy Services LLC

  • Physical Therapist
  • El Paso, TX
  • NPI 1871650598
  NPD (past) Authorized official
• Excel Rehabilitation and Sports

  • Physical Therapist
  • Greenville, SC
  • NPI 1952272379
  NPD (past) Authorized official
• Therapydia of Washington PC

  • Physical Therapist
  • Vancouver, WA
  • NPI 1902643992
  NPD (past) Authorized official
• Whatcom Physical Therapy Inc PS

  • Physical Therapist
  • Blaine, WA
  • NPI 1184683948
  NPD (past) Authorized official
• Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.

  • Specialist
  • Jacksonville, NC
  • NPI 1164482402
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1801994355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DEWEY AVE NW",
            "address_2": "STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045283",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 KIRTS BLVD STE 120",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844851",
            "telephone_number": "248-519-4900",
            "fax_number": "248-269-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVER",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "64-00940",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "30658",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Lawrence
• Clare Layton
• Dariusz A Lazarczyk, MD
• Agnieszka Lazarska
• Juan Leal
• Rhonda Marie Lebeau, COTA/L
• Paige Donna Ledin
• Audrey Leduc, RBT
• Sofia Leduc, RBT
• Kimberly Queen Lee-Murray

• Physical Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.

Verify at the official NPI Registry.