NPIMap

Organization Active NPI

Leonardo Physical Therapy

Doing business as Leonardo Physical Therapy,LLC

  • Physical Therapist
  • Wilmington, MA
National Provider Identifier
1962479584
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15897 Issued in MA
Legal business name
LEONARDO PHYSICAL THERAPY
Doing business as
Leonardo Physical Therapy,LLC
Practice address
230 Lowell St
Suite 2D
Wilmington, MA 01887-3088
Phone
(978) 657-7404
Fax
(978) 657-5948
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Dr. Juli Hunt, DPT,PTNPI 1093743544
Title
DPT,PT
Phone
(978) 657-7404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 15897 MA Primary

Addresses

Primary practice location

230 Lowell St
Suite 2D
Wilmington, MA 01887-3088

Mailing address

230 Lowell St
Suite 2D
Wilmington, MA 01887-3088
Phone (978) 657-7404

Other names 1

  • Leonardo Physical Therapy,LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000262 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012056286 Receives reassigned benefits from 6 practitioners
Practice locations: Wilmington, MA

National Provider Directory

National Provider Directory

Locations

230 Lowell St
Ste 2D
Wilmington, MA 01887
Phone (978) 657-7404

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1962479584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LOWELL ST",
            "address_2": "SUITE 2D",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873088",
            "telephone_number": "978-657-7404",
            "fax_number": "978-657-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 LOWELL ST",
            "address_2": "SUITE 2D",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873088",
            "telephone_number": "978-657-7404",
            "fax_number": "978-657-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARDO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "DPT,PT",
        "authorized_official_telephone_number": "978-657-7404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT,PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leonardo Physical Therapy,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.