Active NPI
Samantha Lauren Leonhardt, PT, DPT, CLT
- Physical Therapist
- Durham, NC
National Provider Identifier
1811675481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22294
- Practice address
- 1125 Highway 54
Suite 503
Durham, NC 27707 - Phone
- (919) 585-4655
- NPI assigned
- Jul 5, 2023
- 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 Therapist | 225100000X | P22294 | NC | Primary |
Addresses
Primary practice location
1125 Highway 54
Suite 503
Durham, NC 27707
Mailing address
378 Monteith Dr
Chapel Hill, NC 27516-4265
Phone (262) 989-7791
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22294 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1811675481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "378 MONTEITH DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275164265",
"telephone_number": "262-989-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 HIGHWAY 54",
"address_2": "SUITE 503",
"city": "DURHAM",
"state": "NC",
"postal_code": "27707",
"telephone_number": "919-585-4655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONHARDT",
"first_name": "SAMANTHA",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PT, DPT, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.