Active NPI
Mark Andrew Leon, D.P.T.
- Physical Therapist
- North Little Rock, AR
National Provider Identifier
1942587852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3390
- Practice address
- 4300 Landers Rd
North Little Rock, AR 72117-2525 - Phone
- (501) 771-1600
- Fax
- (501) 955-2252
- NPI assigned
- Nov 5, 2011
- Last updated
- Nov 8, 2017
- 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 | 3390 | AR | Primary |
Addresses
Primary practice location
4300 Landers Rd
North Little Rock, AR 72117-2525
Mailing address
1909 Hinson Loop Rd
Ste 100
Little Rock, AR 72212-3903
Phone (501) 301-4530
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3390 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Yumang Rehab Serivces, PA | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Springdale, AR
- NPI 1356435358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1942587852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 HINSON LOOP RD",
"address_2": "STE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722123903",
"telephone_number": "501-301-4530",
"fax_number": "501-251-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 LANDERS RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172525",
"telephone_number": "501-771-1600",
"fax_number": "501-955-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "MARK",
"middle_name": "ANDREW",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-05",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "3390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.