Leaps & Bounds Pediatric Physical Therapy of Holmdel, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

LEAPS & BOUNDS PEDIATRIC PHYSICAL THERAPY OF HOLMDEL, LLC

Practice address

670 N Beers St Ste 1
Holmdel, NJ 07733-1544

Phone

(718) 477-1911

NPI assigned

Jan 19, 2023

Organization subpart

No

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

Authorized official

Name

Jill Kissel

Title

Owner

Phone

(917) 647-5275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1861107203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST STE 1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331544",
            "telephone_number": "718-477-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST STE 1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331544",
            "telephone_number": "718-477-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS & BOUNDS PEDIATRIC PHYSICAL THERAPY OF HOLMDEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "KISSEL",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-647-5275"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon R Lane, ATC
• Shari Larosa, LCSW
• Lind S. Larsen, M.D.
• Nasim Lasemi, DMD, MS
• Gloria K Lau, PT
• CHI I Lee
• Robert G Lehman, D.C.
• Leonardo S Fernandez, LLC
• Lisa Robyn Levine-Rostowsky, OTR/L
• Liberty Med Associates LLC

• Pediatric Physical Therapist in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Pediatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.