MEDICARE: LEADER PHYSICAL THERAPY LIMITED PARTNERSHIP

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1447504352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEADER PHYSICAL THERAPY LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	5039 PARK AVE
Second Line	:	SUITE 102
City	:	MEMPHIS
State	:	TN
Zip	:	38117-5701
Country	:	US
Telephone Number	:	901-818-9746
Fax Number	:	901-818-9741

Provider Business Practice Location Address
First Line	:	6050 AIRLINE RD
Second Line	:	SUITE 106
City	:	ARLINGTON
State	:	TN
Zip	:	38002-4895
Country	:	US
Telephone Number	:	901-867-8989
Fax Number	:

Authorized Official
Title or Position	:	VP, AUTHORIZED OFFICIAL
Name	:	RICHARD BINSTEIN
Credential	:	JD
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	10/30/2012
Last Update Date	:	10/30/2012

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