Healthcare Provider Details

I. General information

NPI: 1447374632
Provider Name (Legal Business Name): LEIGH ANNE ROBERTS D.P.T, O.C.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E MOUNT VERNON PL
BALTIMORE MD
21202-2308
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
BALTIMORE MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 443-997-5476
  • Fax: 410-847-3838
Mailing address:
  • Phone: 410-933-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number19791
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19791
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: