Active NPI
Nancy Leineweber, PT
- Physical Therapist
- Johns Island, SC
National Provider Identifier
1992711220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4981
- Practice address
- 3690 Bohicket Road
Ste 3D
Johns Island, SC 29455 - Phone
- (843) 768-2093
- Fax
- (843) 768-4526
- NPI assigned
- Jul 31, 2006
- 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 | 4981 | SC | Primary |
Addresses
Primary practice location
3690 Bohicket Road
Ste 3D
Johns Island, SC 29455
Mailing address
586 Lone Tree Dr
Mount Pleasant, SC 29464
Phone (843) 884-7880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1537 | Medicaid | SC | |
| GP1753 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4981 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Centers of Charleston, LLC | Physical Therapist | Past | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Mt Pleasant, SC
- NPI 1205842762
-
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1689405664
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1992711220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 LONE TREE DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-884-7880",
"fax_number": "843-884-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 BOHICKET ROAD",
"address_2": "STE 3D",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "29455",
"telephone_number": "843-768-2093",
"fax_number": "843-768-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEINEWEBER",
"first_name": "NANCY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1537",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1753",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johns Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.