MR. PHILIP JAMES LEONARD JR. (NPI# 1104924083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104924083 |
| Entity Type | Individual |
| Full Name | MR. PHILIP JAMES LEONARD JR. |
| Credential | CO |
| Practice Address |
150 S Huntington Ave Boston MA 02130-4817 |
| Mailing Address |
678 Plain St Brockton MA 02302-4531 |
| Practice Telephone | 6172329500 |
| Mailing Telephone | 5085804278 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316098114 | Philip Joseph Leonard | Psychiatry & Neurology | 711 W 38th St, Suite C-6, Austin, TX 78705-1121 | 2007-01-16 |
| Street Address |
150 S HUNTINGTON AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500429 | Thomas Peter Fantes | Family Medicine | 150 S Huntington Ave, Boston, MA 02130-4817 | 2005-06-30 |
| 1225640758 | Juliette Mcclendon-iacovino | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-08-17 |
| 1912524232 | William A Delaney | Social Worker | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-07-02 |
| 1659997948 | Thomas Favale | Dentist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-06-22 |
| 1972129385 | Anisha Pandya | Dentist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-06-22 |
| 1194347849 | Amanda Vessels | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-05-15 |
| 1275155947 | Rachel Nicole Werner | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-05-15 |
| 1235750639 | Michelle Lee Bourgeois | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-04-27 |
| 1962031617 | Tina Khieu | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-04-05 |
| 1083240238 | Southey Saul | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366973463 | Jeffrey Bonneville | Orthotist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2017-03-21 |
| 1770024739 | Mauricio A Ventura | Orthotist | 260 Tremont St, Biewend Building, Level B, Boston, MA 02116-5603 | 2017-03-10 |
| 1801997762 | William Joseph Donovan Jr. | Orthotist | 150 South Huntington Ave, Boston, MA 02130 | 2006-09-25 |
| 1891893830 | Peter Michael Mullarkey | Orthotist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073664 | Daryl James Reuter | Orthotist | 51 Park St, Attleboro, MA 02703-2363 | 2020-11-05 |
| 1477056158 | Barbara A Clancy | Orthotist | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2018-03-09 |
| 1417330234 | Hema Patel | Orthotist | 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 | 2015-06-30 |
| 1811243371 | Jared Leonard Caya | Orthotist | 184 Pleasant Valley St, Methuen, MA 01844-5817 | 2012-08-01 |
| 1295048767 | Daniel William Glynn | Orthotist | 4 Mountain Ave., Pembroke, MA 02359 | 2010-07-26 |
| 1922270677 | Robin L. Lovett | Orthotist | 840 Winter St, Waltham, MA 02451-1433 | 2008-04-01 |
| 1669545539 | Randy Scott Penney | Orthotist | 543 North Street, Suite 201, New Benford, MA 02740 | 2006-11-16 |
| 1689763955 | Daniel A Schrag | Orthotist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-10-12 |
| 1790871911 | Marc Steven Bunszell | Orthotist | 1400 Vfw Pkwy, Prosthetics 121, West Roxbury, MA 02132-4927 | 2006-10-05 |
| 1285742411 | James Anthony Mullarkey | Orthotist | 1400 Vfw Pkwy, Orthotic Lab 121, West Roxbury, MA 02132-4927 | 2006-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.