Active NPI
Kiley Marie Leedy, DPT
- Physical Therapist
- Johnson City, TN
National Provider Identifier
1831581776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10302
- Practice address
- 3209 Bristol Hwy
Johnson City, TN 37601-1515 - Phone
- (423) 282-3311
- NPI assigned
- Mar 2, 2015
- 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 | 10302 | TN | Primary |
Addresses
Primary practice location
3209 Bristol Hwy
Johnson City, TN 37601-1515
Mailing address
2009 Birchwood Rd
Kingsport, TN 37660-5738
Phone (931) 637-9678
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 |
|---|---|---|---|
| 10302 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1831581776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 BIRCHWOOD RD",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376605738",
"telephone_number": "931-637-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 BRISTOL HWY",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011515",
"telephone_number": "423-282-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEDY",
"first_name": "KILEY",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.