Ian Michael Leahy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J10002392 Issued in DE

Practice address

207 Stadium St
Smyrna, DE 19977-2899

Phone

(302) 659-0173

Fax

(302) 659-0424

NPI assigned

Aug 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Southern Delaware Physical Therapy, Inc.

  • Physical Therapist
  • Lewes, DE
  • NPI 1588690622
  NPD (past)
• Ati Holdings, LLC

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1932355328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 MARSH RD",
            "address_2": "STORE 505",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104581",
            "telephone_number": "302-793-0432",
            "fax_number": "302-793-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 STADIUM ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199772899",
            "telephone_number": "302-659-0173",
            "fax_number": "302-659-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "IAN",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10002392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC AMERIHEALTH",
            "identifier": "3634428000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932355328",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Temitope Olajumoke Lawrence-Bello, MD
• Linda L Lawton, DPM
• Linh Le
• Patricia Ann Leach
• Leadz Homecare Services LLC
• Tekia Nichelle Lee, MPT
• Elizjah Lewis
• Life Force Caregivers, Inc.
• Linda Lawton, DPM
• Jennifer C Liquido, M.D.

• Physical Therapist in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.