Active NPI
Leah Pfister
- Physical Medicine & Rehabilitation Physician
- Frederick, MD
National Provider Identifier
1811461643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 07304
- Practice address
- 7407 Willow Rd
Frederick, MD 21702-2500 - Phone
- (301) 644-5600
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 07304 | MD | Primary |
Addresses
Primary practice location
7407 Willow Rd
Frederick, MD 21702-2500
Mailing address
321 N Church St
Thurmont, MD 21788-1641
Phone (240) 397-0209
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P236493585351 | Other | MD | DMV |
| 07304 | Other | MD | MD OT BOARD |
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 |
|---|---|---|---|
| 07304 | MD | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1811461643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N CHURCH ST",
"city": "THURMONT",
"state": "MD",
"postal_code": "217881641",
"telephone_number": "240-397-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7407 WILLOW RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217022500",
"telephone_number": "301-644-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFISTER",
"first_name": "LEAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "07304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMV",
"identifier": "P236493585351",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD OT BOARD",
"identifier": "07304",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.