MRS. KELLY OH LECKRONE (NPI# 1962690206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962690206 |
Entity Type | Individual |
Full Name | MRS. KELLY OH LECKRONE |
Credential | DPT |
Practice Address |
19032 Magnolia St Huntington Beach CA 92646-2232 |
Mailing Address |
268 S Lemon St Orange CA 92866-1805 |
Practice Telephone | 7149683003 |
Mailing Telephone | 7145142701 |
Enumeration Date | 2007-10-11 |
Last Update Date | 2011-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 34054 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PT LICENSE | PT 34054 | 01 |
Street Address |
19032 MAGNOLIA ST |
City | HUNTINGTON BEACH |
State | CA |
Zip Code | 92646-2232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306884366 | Mai Ngo Studebaker | Physical Therapist | 19032 Magnolia St, Huntington Beach, CA 92646-2232 | 2006-06-03 |
1427277128 | Caroline Stasiewicz | Occupational Therapist | 19032 Magnolia St, Huntington Beach, CA 92646-2232 | 2007-04-24 |
1922018373 | Kathleen Elizabeth Piercy | Physical Therapist | 19032 Magnolia St, Huntington Beach, CA 92646-2232 | 2006-08-08 |
1982642336 | Magnolia Physical Therapy, Inc | Clinic/Center | 19032 Magnolia St, Huntington Beach, CA 92646-2232 | 2006-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255809000 | Geraldine Anne Loughran-beutler | Registered Nurse | 9941 Hot Springs Dr, Huntington Beach, CA 92646 | 2018-11-09 |
1740646934 | Srinivasa Murthy | Pediatrics | 8851 Baywood Drive, Huntington Beach, CA 92646 | 2016-01-05 |
1134584436 | A & A Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 9106 Adams Ave, Huntington Beach, CA 92646 | 2015-12-31 |
1053776302 | A&a Pharmacies, Inc. | Pharmacy | 9106 Adams Avenue, 9108, Huntington Beach, CA 92646 | 2015-12-30 |
1194101956 | The Piercy Group, Inc. | Physical Therapist | 19032 Magnolia St. B, Huntington Beach, CA 92646 | 2015-08-04 |
1033596788 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 9110 Adams Avenue, Huntington Beach, CA 92646 | 2015-05-01 |
1427446640 | Celline Thanh Pham Dds, Inc | Dentist | 19059 Bushard St, Huntington Beach, CA 92646 | 2014-12-23 |
1538565320 | Orange County Urgent Care #3 Inc. | Clinic/Center | 10026-10028 Adams Avenue, Huntington Beach, CA 92646 | 2014-11-06 |
1184065948 | Megan Price | Behavioral Analyst | 8902 Albatross, Huntington Beach, CA 92646 | 2013-07-09 |
1699029504 | Jean-pierre Jacques Dufour | Family Medicine | 8952 Faust Cir., Huntington Beach, CA 92646 | 2012-10-30 |
Find all providers in zip 92646 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285272856 | Jessica Burke | Physical Therapist | 21050 Lochlea Ln Apt 100, Huntington Beach, CA 92646-6840 | 2019-12-14 |
1477748267 | Darci Tharp | Physical Therapist | 22311 Brookhurst St, Huntington Beach, CA 92646-8450 | 2007-09-13 |
1639193055 | Julie A Bergmann | Physical Therapist | 16271 Beach Blvd, Huntington Beach, CA 92647-4102 | 2006-07-27 |
1538196415 | Tracy Akins Aldous | Physical Therapist | 6932 Spickard Dr, Huntington Beach, CA 92647-5658 | 2006-06-27 |
1275571465 | Anne C Clark | Physical Therapist | 2500 Main Street, 250, Huntington Beach, CA 92648 | 2006-06-02 |
1689646044 | Lesley Anne Koch | Physical Therapist | 7451 Warner Ave, Suite A, Huntington Beach, CA 92647-5494 | 2006-02-01 |
1760453229 | Shoreline Physical Therapy, Inc. | Physical Therapist | 9036 Adams Ave, Huntington Beach, CA 92646 | 2006-01-31 |
1942829486 | Jd Physical Therapy Inc. | Physical Therapist | 16033 Bolsa Chica St Ste 101, Huntington Beach, CA 92649-2452 | 2020-04-14 |
1811480593 | Dylan George Sauer | Physical Therapist | 5312 Bolsa Ave Ste 105, Huntington Beach, CA 92649-1060 | 2018-06-07 |
1780105429 | Steven M Charbonnet | Physical Therapist | 16271 Beach Blvd, Huntington Beach, CA 92647-4102 | 2017-07-03 |
Find all providers in HUNTINGTON BEACH |
City | HUNTINGTON BEACH |
Zip Code | 92646 |
Please comment or provide details below to improve the information on MRS. KELLY OH LECKRONE.
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.