Individual provider Active NPI

Leeanne Dunwoody

  • Physical Therapist
  • Beaumont, CA
National Provider Identifier
1851721245
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10226 Issued in CA
Practice address
860 Annandale Rd
Beaumont, CA 92223-8558
Phone
(334) 216-4357
NPI assigned
Nov 20, 2013
Last updated
Nov 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10226 CA Primary

Addresses

Primary practice location

860 Annandale Rd
Beaumont, CA 92223-8558

Mailing address

860 Annandale Rd
Beaumont, CA 92223-8558
Phone (334) 216-4357

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": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1851721245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 ANNANDALE RD",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238558",
            "telephone_number": "334-216-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ANNANDALE RD",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238558",
            "telephone_number": "334-216-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNWOODY",
        "first_name": "LEEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "10226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.