JESSICA RENEE LEACH (NPI# 1518249564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518249564 |
| Entity Type | Individual |
| Full Name | JESSICA RENEE LEACH |
| Credential | PT, ATC |
| Practice Address |
3480 Landers Rd North Little Rock AR 72117 |
| Mailing Address |
800 Fair Park Blvd Little Rock AR 72204-1720 |
| Practice Telephone | 5019555519 |
| Practice Fax Number | 5019555529 |
| Mailing Telephone | 5019782623 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT3399 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
447 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 213203721 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Fair Park Blvd, Little Rock, AR 722041720 | 5016046900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056721 | Jessica Leach | Nurse Practitioner | 6120 Hickory Flat Hwy, Canton, GA 30115-7252 | 2019-07-30 |
| Street Address |
3480 LANDERS RD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871571059 | Michael J Weber | Orthopaedic Surgery | 3480 Landers Rd, North Little Rock, AR 72117-2541 | 2006-01-06 |
| 1326546672 | Orthoarkansas, Pa | Specialist | 3480 Landers Rd, North Little Rock, AR 72117-2541 | 2018-01-31 |
| 1497923437 | Orthoarkansas, Pa | Orthopaedic Surgery | 3480 Landers Rd, North Little Rock, AR 72117-2541 | 2008-02-12 |
| 1174663009 | Dale Henry Menna | Physical Therapist | 3480 Landers Rd, North Little Rock, AR 72117-2541 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154848133 | Zach Brown | Physical Therapist | 4540 Jfk Blvd, North Little Rock, AR 72116-7309 | 2017-08-29 |
| 1962584730 | Randy G Regester | Physical Therapist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007841 | Branden Shane Blume | Physical Therapist | 5300 S Southern Hills Ct # 200, Rogers, AR 72758-3500 | 2020-09-15 |
| 1275933772 | Haley Mourot | Physical Therapist | 100 Walmart Dr Ste 5, Morrilton, AR 72110-4525 | 2014-09-03 |
| 1093153173 | Christian Charles Robertozzi | Physical Therapist | 907 Se Village Loop Ste 5, Bentonville, AR 72712-2229 | 2013-06-11 |
| 1023320132 | Rachael Lee Cummins Owens | Physical Therapist | 1065 Clayton St Ste 9, Conway, AR 72032-4335 | 2010-07-06 |
| 1275605727 | Brian Paul Doorley | Physical Therapist | 16140 N Arrowhead Fountain Center Drive, Suite 105, Peoria, AR 85382 | 2006-11-13 |
| 1467554964 | Bryan Nathaniel Grubbs | Physical Therapist | 1200 Old Warren Road, Monticello, AR 71655-3954 | 2006-09-04 |
| 1740243559 | Anna Christine Turner-massanelli | Physical Therapist | 2113 Watts Road, Jordan Physical Therapy, Benton, AR 71901 | 2006-04-11 |
| 1124017058 | Rowdy Kelly | Physical Therapist | 200 N College St, Mountain Home, AR 72653-3654 | 2005-10-13 |
| 1750865044 | Ruth Ross | Physical Therapist | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2018-09-21 |
| 1497238851 | Montana Chapman | Physical Therapist | 10014 N Rodney Parham Rd Ste 103, Little Rock, AR 72227-5598 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
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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.