John Joseph Leary III, PT.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2926 Issued in NH

Practice address

2 Beaver Brook Cir
Amherst, NH 03031-2512

Phone

(603) 672-4774

NPI assigned

Nov 20, 2012

Last updated

Nov 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1922342542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BEAVER BROOK CIR",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312512",
            "telephone_number": "603-672-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BEAVER BROOK CIR",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312512",
            "telephone_number": "603-672-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NH",
            "license": "2926",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MA",
            "license": "10529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Renee Kozhevnikov, PTA
• Krislan of New England, LLC (Krislan Ultrasonix)
• Keith A Lammers, MD
• Jessica Launh, APRN
• Heather M Lawson, M.S., L.C.M.H.C.
• Catherine Ledoux, MA, LCMHC
• Matthew C Leighton, D.D.S.
• Jodie Anne Lemery, L.AC.
• Melissa Ann Leonard
• Deborah J Levasseur, PHD

• Geriatric Physical Therapist in Amherst, NH
• Providers in Amherst, NH by specialty
• Geriatric Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.