Active NPI
Karen Schwager Leitz
- Physical Therapist
- Poulsbo, WA
National Provider Identifier
1902034796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 60095719
- Practice address
- 19319 7TH Ave NE Ste 100
Poulsbo, WA 98370-7442 - Phone
- (360) 297-7050
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
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 | PT 60095719 | WA | Primary |
Addresses
Primary practice location
19319 7TH Ave NE Ste 100
Poulsbo, WA 98370-7442
Mailing address
3800 E Harbor Rd
Langley, WA 98260-9663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8885718 | Other | WA | MEDICARE ID-TYPE UNSPECIFIED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5575 Harbor Ave
Suite 103
Freeland, WA 98249-3007
Phone (360) 331-0141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 60095719 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Fracture and Orthopaedic Clinic, PC | Past | Accepting new patients | |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Past | Accepting new patients |
| Alaska Physical Therapy Specialists, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Freeland, WA
- NPI 1215324835
-
- Physical Therapist
- Silverdale, WA
- NPI 1912902347
-
- Physical Therapist
- Anchorage, AK
- NPI 1801849211
-
dba Alaska Fracture and Orthopedic Clinic
- Orthopaedic Surgery Physician
- Anchorage, AK
- NPI 1285677054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1902034796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 E HARBOR RD",
"city": "LANGLEY",
"state": "WA",
"postal_code": "982609663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19319 7TH AVE NE STE 100",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707442",
"telephone_number": "360-297-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITZ",
"first_name": "KAREN",
"middle_name": "SCHWAGER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 60095719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "G8885718",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.