Active NPI
Andrew Leider
- Physical Therapist
- Alliance, NE
National Provider Identifier
1821467051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3501
- Practice address
- 2101 Box Butte Ave
Alliance, NE 69301-4445 - Phone
- (308) 761-3372
- Fax
- (308) 762-1556
- NPI assigned
- Sep 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3501 | NE | Primary |
Addresses
Primary practice location
2101 Box Butte Ave
Alliance, NE 69301-4445
Mailing address
1522 Big Horn Ave
Alliance, NE 69301-2433
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1821467051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 BIG HORN AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693012433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 BOX BUTTE AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693014445",
"telephone_number": "308-761-3372",
"fax_number": "308-762-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIDER",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-17",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alliance, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.