Provider Demographics
NPI:1225310725
Name:LEDDY, SARA ORTON (PT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ORTON
Last Name:LEDDY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 OTEGO RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NY
Mailing Address - Zip Code:13775-4637
Mailing Address - Country:US
Mailing Address - Phone:607-829-2654
Mailing Address - Fax:
Practice Address - Street 1:642 OTEGO RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NY
Practice Address - Zip Code:13775-4637
Practice Address - Country:US
Practice Address - Phone:607-829-2654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018640225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist