Active NPI
Peter C Leonard, DPT, PT
- Physical Therapist
- Collingswood, NJ
National Provider Identifier
1811365141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01642500
- Practice address
- 759 Haddon Ave
Collingswood, NJ 08108-3714 - Phone
- (609) 458-2768
- Fax
- (856) 858-3235
- NPI assigned
- Sep 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01642500 | NJ | Primary |
| Physical Therapist | 225100000X | PT-4162 | ID |
Addresses
Primary practice location
759 Haddon Ave
Collingswood, NJ 08108-3714
Mailing address
533 Covered Bridge Rd
Cherry Hill, NJ 08034-3110
Phone (609) 458-2768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
759 Haddon Ave
Collingswood, NJ 08108-3714
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-4162 | ID | MD | Physical Therapist |
| 40QA01642500 | NJ | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Collingswood, NJ
- NPI 1962419192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1811365141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 COVERED BRIDGE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343110",
"telephone_number": "609-458-2768",
"fax_number": "856-858-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 HADDON AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "081083714",
"telephone_number": "609-458-2768",
"fax_number": "856-858-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "PETER",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-03",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01642500",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-4162",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collingswood, NJ
- Carl Anthony Lange Jr.
- Kaleigh Lange
- Katherine Latona, LAC
- Marshall Francis Lauer, MD
- Joan C Leonard
- Karen Levy, OD
- Andrew P Lisko, DMD
- Lourdes Medical Associates, PA (Lourdes Medical Associates Collingswood Family Medical Center)
- Lourdes Medical Associates, PA (Lourdes Medical Associates Womens' Healthcare of Collingswood)
- Cari Rachelle Loveland, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.