Kevin Alan Leiseberg in Marengo - Physical Therapist
Kevin Alan Leiseberg - NPI 1093827685
Kevin Alan Leiseberg is a Physical Therapist in Marengo, Illinois. Kevin Alan Leiseberg practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kevin Alan Leiseberg is 1093827685. The last update date is 2016-04-21.
Kevin Alan Leiseberg's current location address is 300 S State St, Marengo, Illinois. You can contact this provider via phone number 8155684550 and fax number 8155685071. The mailing address for Kevin Alan Leiseberg is 300 S State St, Marengo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Alan Leiseberg |
|---|---|
| Address | 300 S State St, Marengo, Illinois |
| Phone Number | 8155684550 |
| Fax Number | 8155685071 |
| Sole Proprietor | N |
| Credentials | MS, PT |
NPI Number Detail
| NPI Number | 1093827685 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2016-04-21 |
Provider Mailing Address Detail
| Address | 300 S State St |
|---|---|
| City | Marengo |
| State | Illinois (IL) |
| Post Code | 601523532 |
| Phone Number | 8155684550 |
| Fax Number | 8155685071 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 070-011208 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 604410001 | IL | DMERC | |
| P00350919 | IL | RAILROAD MEDICARE NUMBER | |
| P01119498 | IL | RAILROAD MEDICARE | |
| IL6237003 | IL | MEDICARE | |
| IL6238003 | IL | MEDICARE | |
| IL6697010 | IL | MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kevin Alan Leiseberg?
The Kevin Alan Leiseberg has been issued the NPI (National Provider Identifier) 1093827685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kevin Alan Leiseberg?
The Kevin Alan Leiseberg is physically situated at 300 S State St, in the city of Marengo, state of IL, with the postal code 601523532.
What is the Kevin Alan Leiseberg's area of specialization and corresponding taxonomy classification?
The Kevin Alan Leiseberg's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1093827685 to Kevin Alan Leiseberg?
The Kevin Alan Leiseberg received its 1093827685 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date was the information regarding Kevin Alan Leiseberg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Alan Leiseberg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-04-21.