Individual provider · Type 1 NPI
Kenneth Aiden Leacock, P.T.
Orthopedic Physical Therapist · New York, NY
Practice location
233 W 139th St
New York, NY 10030-2104
Fax (212) 283-6095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 007365 (NY) |
| Orthopedic Physical Therapist Primary | 2251X0800X | 007365 (NY) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
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About NPI 1730166398
Kenneth Aiden Leacock, P.T.'s National Provider Identifier is 1730166398, issued on Dec 27, 2005. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in New York, NY. The record was last updated on Sep 11, 2025.