Active NPI
Daniel G Leahey, PT, MA
- Physical Therapist
- Paramus, NJ
National Provider Identifier
1912286139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00472700
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 010665 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Rehab Somerset PA | Physical Therapist | Current | Accepting new patients |
| Madison PT of New Jersey, PC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Somerset, NJ
- NPI 1245789064
-
- Rehabilitation Hospital
- Marlton, NJ
- NPI 1528512266
-
- Physical Therapist
- Westwood, NJ
- NPI 1740369347
-
- Physical Therapist
- Toms River, NJ
- NPI 1275501074
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.