Active NPI
Leslie Reaver Henrich, P.T.
- Specialist
- Gallatin, TN
National Provider Identifier
1992913313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 2107 TN
- Practice address
- 695 E Main St
Gallatin, TN 37066-2472 - Phone
- (615) 451-5200
- Fax
- (615) 451-6563
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT 2107 TN | TN | Primary |
Addresses
Primary practice location
695 E Main St
Gallatin, TN 37066-2472
Mailing address
695 East Main St
Gallatin, TN 37066-2472
Phone (615) 451-5200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 2107 TN | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1992913313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 EAST MAIN ST",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662472",
"telephone_number": "615-451-5200",
"fax_number": "615-451-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 E MAIN ST",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662472",
"telephone_number": "615-451-5200",
"fax_number": "615-451-6563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRICH",
"first_name": "LESLIE",
"middle_name": "REAVER",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "PT 2107 TN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.