Individual provider Active NPI

Elise Ann Leonti, PTA

  • Physical Therapy Assistant
  • Snoqualmie, WA
National Provider Identifier
1891137659
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P1 60038488 Issued in WA
Practice address
34027 SE Indian Plum St
Snoqualmie, WA 98065-9496
Phone
(888) 990-0258
Fax
(800) 431-0226
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P1 60038488 WA Primary

Addresses

Primary practice location

34027 SE Indian Plum St
Snoqualmie, WA 98065-9496

Mailing address

34027 SE Indian Plum St
Snoqualmie, WA 98065-9496
Phone (888) 990-0258

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

LicenseStateTypeSpecialty
P1 60038488WAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1891137659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34027 SE INDIAN PLUM ST",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659496",
            "telephone_number": "888-990-0258",
            "fax_number": "800-431-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34027 SE INDIAN PLUM ST",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659496",
            "telephone_number": "888-990-0258",
            "fax_number": "800-431-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONTI",
        "first_name": "ELISE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60038488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.