Individual provider Active NPI

Daniel G Leahey, PT, MA

  • Physical Therapist
  • Paramus, NJ
National Provider Identifier
1912286139
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00472700 Issued in NJ
Practice address
10 Forest Ave Ste 210
Paramus, NJ 07652-5238
Phone
(201) 291-0750
Fax
(201) 291-0753
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00472700 NJ Primary

Addresses

Primary practice location

10 Forest Ave Ste 210
Paramus, NJ 07652-5238

Mailing address

11 Eagle Rock Ave Ste 201
East Hanover, NJ 07936-3167
Phone (973) 887-9000

Other practice location 1

354 Old Hook Rd
Westwood, NJ 07675-3246
Phone (201) 594-3912

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
010665NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Madison PT of New Jersey, PC Physical Therapist PastSince Feb 23, 2015 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients

Locations

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

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.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1912286139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE STE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST AVE STE 210",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525238",
            "telephone_number": "201-291-0750",
            "fax_number": "201-291-0753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Old Hook Rd",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076753246",
            "country_code": "US",
            "telephone_number": "201-594-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAHEY",
        "first_name": "DANIEL",
        "middle_name": "G",
        "credential": "PT, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00472700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.