Active NPI
Yvonne Leichter
- Physical Therapist
- Playa del Rey, CA
National Provider Identifier
1912363763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12927
- Practice address
- 8327 Pershing Dr
Playa del Rey, CA 90293-7841 - Phone
- (310) 871-4658
- NPI assigned
- Jan 10, 2016
- 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 | 12927 | CA | Primary |
Addresses
Primary practice location
8327 Pershing Dr
Playa del Rey, CA 90293-7841
Mailing address
8327 Pershing Dr
Playa del Rey, CA 90293-7841
Phone (310) 871-4658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22510000X | Other | CA | SELF |
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 |
|---|---|---|---|
| 12927 | CA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452384000000",
"number": "1912363763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8327 PERSHING DR",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937841",
"telephone_number": "310-871-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8327 PERSHING DR",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937841",
"telephone_number": "310-871-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEICHTER",
"first_name": "YVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-10",
"last_updated": "2016-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "12927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELF",
"identifier": "22510000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Playa del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.