Provider Demographics
NPI:1043465875
Name:LEINART, KATHERINE IRENE (PT, MA)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:IRENE
Last Name:LEINART
Suffix:
Gender:F
Credentials:PT, MA
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:IRENE
Other - Last Name:LEINART-KIRCHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, MA
Mailing Address - Street 1:128 PIERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-4512
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 LARKIN PLZ
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-751-0406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0171112251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics