Active NPI
Samantha Ann Leonard
- Physical Therapist
- Henderson, NV
National Provider Identifier
1891313714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4323
- Practice address
- 1710 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-4901 - Phone
- (702) 489-9217
- NPI assigned
- Jul 7, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4323 | NV | Primary |
Addresses
Primary practice location
1710 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-4901
Mailing address
9455 Isla Lee Ave
Las Vegas, NV 89178-2459
Phone (702) 353-8544
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 |
|---|---|---|---|
| 4323 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1891313714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9455 ISLA LEE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891782459",
"telephone_number": "702-353-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 W HORIZON RIDGE PKWY STE 110",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124901",
"telephone_number": "702-489-9217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "SAMANTHA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.