MEDICARE: LEAP THERAPY SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225200000X	Physical Therapy Assistant
3	224Z00000X	Occupational Therapy Assistant
4	235Z00000X	Speech-Language Pathologist
5	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1033561584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEAP THERAPY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1218 STONE ST STE 140
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401-4568
Country	:	US
Telephone Number	:	870-530-3100
Fax Number	:	870-558-5637

Provider Business Practice Location Address
First Line	:	1218 STONE ST STE 140
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401-4568
Country	:	US
Telephone Number	:	870-336-0220
Fax Number	:	870-558-5637

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELA CULVER
Credential	:
Telephone Number	:	870-530-3100

Provider Enumeration Date	:	07/08/2016
Last Update Date	:	03/29/2023

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Directions to “LEAP THERAPY SOLUTIONS, LLC ” Practice Location

Language	Start Address	Practice Location

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