MEDICARE: KRISTIN LEONHARDT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT024277	PA

General Provider Information

NPI Number	:	1053809079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN LEONHARDT

Provider Business Mailing Address
First Line	:	2215 FITZWATER ST UNIT 3
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1132
Country	:	US
Telephone Number	:	847-345-4299
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 FITZWATER ST UNIT 3
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1132
Country	:	US
Telephone Number	:	847-345-4299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2018
Last Update Date	:	04/25/2018

Similar Medicare Providers

1679841811 — DR. TANNER MARK CLARK D.M.D.
Practice Location Address:

2203 FITZWATER ST UNIT 1
PHILADELPHIA, PA
19146-1132

Practice Phone: 208-317-8555
Practice Fax:

1932734100 — NINO ROLDAN
Practice Location Address:

1132 SHELMIRE AVE
PHILADELPHIA, PA
19111-2763

Practice Phone: 267-401-3625
Practice Fax:

1235895749 — CHRISTEL JOY MACAVINTA ROLDAN
Practice Location Address:

1132 SHELMIRE AVE
PHILADELPHIA, PA
19111-2763

Practice Phone: 267-467-1094
Practice Fax:

1700739844 — VICTORIA RATH PMHNP
Practice Location Address:

1843 WILDER ST
PHILADELPHIA, PA
19146-4638

Practice Phone: 631-921-3825
Practice Fax:

1992540074 — ILYSSA CARSIA CRNP
Practice Location Address:

1628 ELLSWORTH ST UNIT 1
PHILADELPHIA, PA
19146-3010

Practice Phone: 215-518-1932
Practice Fax:

1699622696 — CARA FRANK INC.
Practice Location Address:

750 S 15TH ST APT 1
PHILADELPHIA, PA
19146-2186

Practice Phone: 215-669-4233
Practice Fax:

Directions to “ KRISTIN LEONHARDT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.