Leonard Wanta, DPT
Physical Therapist in Roxbury, Massachusetts
1477978492- Practice location
- 1350 Tremont St, Roxbury, MA 02120-3447
- Phone
- 617-267-3773
- Fax
- 617-602-1010
- Last updated
- February 27, 2014
Leonard Wanta is a Physical Therapist based in Roxbury, MA. Leonard Wanta practices in Roxbury, MA and has the professional credentials of DPT. The NPI Number for Leonard Wanta is 1477978492 and holds a License No. 21013 (MA). The current practice location address for Leonard Wanta is 1350 Tremont St, Roxbury, MA 02120-3447 and can be reached out via phone at 617-267-3773 and via fax at 617-602-1010.
Provider Profile Details
- NPI Number
- 1477978492
- Provider Name
- Leonard Wanta
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1350 Tremont St, Roxbury, MA 02120-3447
- Phone Number
- 617-267-3773
- Fax Number
- 617-602-1010
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 27, 2014
- Last Update Date
- February 27, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1350 Tremont St
Roxbury, MA 02120-3447 - City
- Roxbury
- State
- Massachusetts
- Zip
- 02120-3447
- Phone Number
- 617-267-3773
- Fax Number
- 617-602-1010
Provider Business Mailing Address Details
- Address
- 535 S Main St
Randolph, MA 02368-5261 - City
- Randolph
- State
- MA
- Zip
- 02368-5261
- Phone Number
- 781-961-3370
- Fax Number
- 781-767-7531
License Information
- License Number
- 21013
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Leonard Wanta, DPT?
The NPI number of Leonard Wanta, DPT is 1477978492. It was assigned on February 27, 2014 and is currently active in the NPPES registry.
What is the specialty of Leonard Wanta, DPT?
Leonard Wanta, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 21013.
Where does Leonard Wanta, DPT practice?
The practice location is 1350 Tremont St, Roxbury, MA 02120-3447. The office can be reached at 617-267-3773 (phone) or 617-602-1010 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477978492 directly on the NPPES registry website.