Active NPI
Stuart Thomas Leerssen, PT
- Physical Therapist
- Nashwauk, MN
National Provider Identifier
1982649976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7201
- Practice address
- 832 First Street
Suite 140
Nashwauk, MN 55769-1245 - Phone
- (218) 885-1282
- Fax
- (218) 885-1471
- NPI assigned
- Jun 17, 2006
- 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 | 7201 | MN | Primary |
Addresses
Primary practice location
832 First Street
Suite 140
Nashwauk, MN 55769-1245
Mailing address
832 First Street
Suite 140
Nashwauk, MN 55769-1245
Phone (218) 885-1282
Other names 1
- Stuart Thomas Sommer
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1982649976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 FIRST STREET",
"address_2": "SUITE 140",
"city": "NASHWAUK",
"state": "MN",
"postal_code": "557691245",
"telephone_number": "218-885-1282",
"fax_number": "218-885-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 FIRST STREET",
"address_2": "SUITE 140",
"city": "NASHWAUK",
"state": "MN",
"postal_code": "557691245",
"telephone_number": "218-885-1282",
"fax_number": "218-885-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEERSSEN",
"first_name": "STUART",
"middle_name": "THOMAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STUART",
"last_name": "SOMMER",
"middle_name": "THOMAS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Nashwauk, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.