Active NPI
Beth Miller Leiro, P.T.
- Pediatric Physical Therapist
- Chapel Hill, NC
National Provider Identifier
1851434732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 3865
- Practice address
- 401 Holly LN
Chapel Hill, NC 27517-3019 - Phone
- (919) 929-3522
- Fax
- (919) 929-3522
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 3865 | NC | Primary |
Addresses
Primary practice location
401 Holly LN
Chapel Hill, NC 27517-3019
Mailing address
401 Holly LN
Chapel Hill, NC 27517-3019
Phone (919) 929-3522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 720783A | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3865 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851434732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HOLLY LN",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275173019",
"telephone_number": "919-929-3522",
"fax_number": "919-929-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HOLLY LN",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275173019",
"telephone_number": "919-929-3522",
"fax_number": "919-929-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIRO",
"first_name": "BETH",
"middle_name": "MILLER",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "3865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "720783A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.