Kelly Oh Leckrone, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT 34054 Issued in CA

Practice address

19032 Magnolia St
Huntington Beach, CA 92646-2232

Phone

(714) 968-3003

NPI assigned

Oct 11, 2007

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Aliso Physical Therapy & Sports Medicine, Inc

  • Physical Therapist
  • Aliso Viejo, CA
  • NPI 1770511859

  Orthopedic

  NPD (past)
• Body Awareness Physical Therapy, Inc

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1164439915

  Orthopedic

  NPD (past)
• Magnolia Physical Therapy, Inc

  • Clinic/Center
  • Huntington Beach, CA
  • NPI 1982642336
  NPD (past)
• Four Seasons Emergency Associates, PC

  • Emergency Medicine Physician
  • Cadillac, MI
  • NPI 1932207909
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1962690206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 S LEMON ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661805",
            "telephone_number": "714-514-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19032 MAGNOLIA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462232",
            "telephone_number": "714-968-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECKRONE",
        "first_name": "KELLY",
        "middle_name": "OH",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 34054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT 34054",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thuy Diem Le
• Trina Trang Le, PHARMD
• Yen Au Le
• John Michael Lear, RN
• Ariana Lebrun Collier, OTR/L
• Darlene Ledesma
• Catherine Helene Leduc-Ramcharan, DC
• Lee S Kim
• Allison Lee, PHARMD
• Allison Candace Lee, DPT

• Orthopedic Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.