Kelley L Leonard, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2119 Issued in AR

Practice address

1310 Sidney St
Batesville, AR 72501-7628

Phone

(870) 612-7200

Fax

(870) 612-7203

NPI assigned

Apr 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Batesville Therapy Clinic, Inc

  dba Newport Physical Therapy and sports Medicine

  • Occupational Therapist
  • Batesville, AR
  • NPI 1194716258
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942420310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LINDSEY CIR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725018057",
            "telephone_number": "870-307-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SIDNEY ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017628",
            "telephone_number": "870-612-7200",
            "fax_number": "870-612-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KELLEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Layton
• Joseph Leary, CSS
• Alanna Lee
• David E Lee, PHARM.D
• Wen-Ya Lee
• Leslie Patterson, LCSW
• Martha Ann Lewallen, LS.W.
• Jennifer Lewis
• Katie Cheyenne Lewis
• Michael Light

• Physical Therapy Assistant in Batesville, AR
• Providers in Batesville, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.