Active NPI
Leann Hetrick, PT
- Physical Therapist
- Crown Point, IN
National Provider Identifier
1902329345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008970A
- Practice address
- 12800 Mississippi Pkwy Ste A102
Crown Point, IN 46307-6901 - Phone
- (219) 662-5781
- NPI assigned
- Jul 18, 2017
- 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 | 05008970A | IN | Primary |
Addresses
Primary practice location
12800 Mississippi Pkwy Ste A102
Crown Point, IN 46307-6901
Mailing address
12800 Mississippi Pkwy Ste A102
Crown Point, IN 46307-6901
Phone (219) 662-5781
Other names 1
- Leann Steffel
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 |
|---|---|---|---|
| 05008970A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902329345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12800 MISSISSIPPI PKWY STE A102",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463076901",
"telephone_number": "219-662-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12800 MISSISSIPPI PKWY STE A102",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463076901",
"telephone_number": "219-662-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETRICK",
"first_name": "LEANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008970A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEANN",
"last_name": "STEFFEL",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.