Individual provider Active NPI

Leigh Keith Langerwerf, DPT

  • Physical Therapist
  • Chico, CA
National Provider Identifier
1831115609
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29876 Issued in CA
Practice address
125 Raley Boulevard
Chico, CA 95928
Phone
(530) 891-8220
Fax
(530) 891-8226
NPI assigned
Jul 14, 2006
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29876 CA Primary
Physical Therapist 225100000X CA

Addresses

Primary practice location

125 Raley Boulevard
Chico, CA 95928

Mailing address

PO Box 1314
Chico, CA 95927-1314
Phone (530) 891-8220

Other identifiers 1

IdentifierTypeStateIssuer
OPT288762OtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001513 CA Practitioner - Physical Therapist in Private Practice 1254379993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butte Premier Physical Therapy IncGroup PAC ID 7618035429, 6 clinicians

Practice addresses (Care Compare)

125 Raley Blvd
Chico, CA 95928-8347
Phone (530) 891-8220

Merit-based Incentive Payment System (MIPS)

Final score
70.51 of 100Reported as individual
Quality
47.96
Improvement activities
40
Cost
71.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29876CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Butte Premier Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 2008 Accepting new patients
Pillsbury Physical Therapy Physical Therapist PastSince Jan 1, 2004 Accepting new patients

Locations

125 Raley Blvd
Chico, CA 95928
Phone (530) 891-8220

Interoperability endpoints

  • Direct secure messaging: leigh@buttepremierpt.direct.kno2fy.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1831115609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1314",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959271314",
            "telephone_number": "530-891-8220",
            "fax_number": "530-891-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RALEY BOULEVARD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95928",
            "telephone_number": "530-891-8220",
            "fax_number": "530-891-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGERWERF",
        "first_name": "LEIGH",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29876",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OPT288762",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.