Leah Hultstrom, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10511MA Issued in MA

Practice address

165 Main St Unit 202a
Medway, MA 02053-1584

Phone

(617) 759-8444

NPI assigned

Aug 17, 2006

Last updated

Aug 12, 2021By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Align Physical Therapy & Wellness, LLC

  • Orthopedic Physical Therapist
  • Medway, MA
  • NPI 1275118952
  NPD Authorized official
• Norwood Physical Therapy, LLC

  • Physical Therapist
  • Norwood, MA
  • NPI 1326216029

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1982717211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STABLE WAY",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020536126",
            "telephone_number": "617-759-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST UNIT 202A",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531584",
            "telephone_number": "617-759-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTSTROM",
        "first_name": "LEAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-08-12",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "PT10511",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "10511MA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER",
            "identifier": "Y67284",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heart Stone Counseling Services LLC
• Megan Hevey
• Quynh CHI T Ho
• Maureen Anna Hodgdon, RD, LDN
• Angela Hoye, OTR/L
• Raechel A Hwang, PT
• Kate Inglesi, CNP
• Isabella Marie Jackson
• Marc N Jacobs, LICSW
• Melissa Johnson

• Orthopedic Physical Therapist in Medway, MA
• Providers in Medway, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.