Leslie Ann E Lueckenhoff, PTA ATC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2012038358 Issued in MO

Practice address

1002 Diamond RDG
Suite 800
Jefferson City, MO 65109-6896

Phone

(573) 761-9360

Fax

(573) 761-9362

NPI assigned

Jan 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Leslie Ann E Essary Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1841538592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-449-8771",
            "fax_number": "571-449-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 DIAMOND RDG",
            "address_2": "SUITE 800",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096896",
            "telephone_number": "573-761-9360",
            "fax_number": "573-761-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUECKENHOFF",
        "first_name": "LESLIE ANN",
        "middle_name": "E",
        "credential": "PTA ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2012038358",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2010024116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE ANN",
            "last_name": "ESSARY",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Luck, PT, DPT
• Charles Joseph Ludy, D.O.
• Zachary Thomas Luebbering, D.O.
• Deborah Sue Luebbert
• Miranda Luebbert, APRN, FNP
• Craig Alan Luetkemeyer, M.D.
• Dennis C Luetkemeyer, M.D.
• James Gerard Luetkemeyer, M.D.
• Jamie Brianne Luetkemeyer, M.D.
• Rebekah Ann Luetkemeyer, SLP

• Physical Therapy Assistant in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.