Leesa A Conway, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3191 Issued in NH

Practice address

101 Boulder Point Dr
Suite 3
Plymouth, NH 03264-3170

Phone

(603) 536-5533

Fax

(603) 536-5550

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-State Health CenterGroup PAC ID 1951363563, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Mid-State Health Center

  • Internal Medicine Physician
  • Plymouth, NH
  • NPI 1811156409
  Medicare reassignment Care Compare group NPD
• Mid-State Health Center

  • Federally Qualified Health Center (FQHC)
  • Plymouth, NH
  • NPI 1235170549
  NPD
• Mid-State Health Center

  • Family Medicine Physician
  • Plymouth, NH
  • NPI 1932920857
  NPD
• Mid-State Health Center

  • Physical Therapy Clinic/Center
  • Plymouth, NH
  • NPI 1245997584
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1962612879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BOULDER POINT DR",
            "address_2": "STE 3",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643170",
            "telephone_number": "603-536-5533",
            "fax_number": "603-536-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BOULDER POINT DR",
            "address_2": "SUITE 3",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643170",
            "telephone_number": "603-536-5533",
            "fax_number": "603-536-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "LEESA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11560",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30396921",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326461",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Cohen
• Danette T Colella
• Lindsay Michelle Colley, PT, MSPT
• Natalie Martha Compton, OTR/L
• Molly Elizabeth Comrie, MSW
• Barbara Coonan
• Terrance Dean Copsey, CRNA
• Cottage Orthopedics PLLC
• Cottage Orthopedics PLLC
• Kristen Rosemary Craig, FNP-BC

• Physical Therapist in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.