Active NPI
Lisa J Leydig, PT
- Physical Therapist
- Kearney, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1697
- Practice address
- 211 W 33Rd St Ste a
Kearney, NE 68845-3485 - Phone
- (308) 236-5884
- Fax
- (308) 236-9621
- NPI assigned
- Mar 3, 2020
- Sex
- Female
- 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 | 1697 | NE | Primary |
Addresses
Primary practice location
211 W 33Rd St Ste a
Kearney, NE 68845-3485
Mailing address
211 W 33Rd St Ste a
Kearney, NE 68845-3485
Phone (308) 236-5884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 E 25TH St
Suite 7
Kearney, NE 68847-5529
Phone (308) 455-1781
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1697 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Physical Therapy & Sports Center | Physical Therapist | Current | Accepting new patients |
| Family Physical Therapy & Sports Center | Current | Accepting new patients | |
| Family Physical Therapy & Sports Center | Physical Therapist | Past | Accepting new patients |
Locations
3500 Central Ave
Ste C1
Kearney, NE 68847
Phone (308) 865-9200
620 E 25th St
Ste 7
Kearney, NE 68847
Phone (308) 455-1781
211 W 33rd St
Ste A
Kearney, NE 68845
Phone (308) 236-5884
110 W 5th St
Lexington, NE 68850
Phone (308) 324-3700
244 N Minden Ave
Minden, NE 68959
Phone (308) 832-1500
321 Grand Ave
Ravenna, NE 68869
Phone (308) 452-7154
Organizations & group practices 3
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.
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- NPI 1942417852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1982239653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W 33RD ST STE A",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688453485",
"telephone_number": "308-236-5884",
"fax_number": "308-236-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W 33RD ST STE A",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688453485",
"telephone_number": "308-236-5884",
"fax_number": "308-236-9621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYDIG",
"first_name": "LISA",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-03",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.