MR. JEFFREY EUGENE LEATHERMAN (PT, DPT) – Physical Therapist, NPI 1417064445

MR. JEFFREY EUGENE LEATHERMAN (PT, DPT) is a healthcare provider. based in Auburn, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 8012 (NC). The NPI Number for MR. JEFFREY EUGENE LEATHERMAN (PT, DPT) is 1417064445

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY EUGENE LEATHERMAN (PT, DPT)
NPI
1417064445
Phone
(334) 826-2090
Address
161 E University Dr
Enumeration Date
24 August 2006
Last Update Date
6 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3348262090
Graduation Year
2016 (10 years ago)
PAC ID
1951381417
Group Practice PAC ID
1355254780
Professional Enrollment ID
I20190401000369
Address ID
AL368325889AU161XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for MR. JEFFREY EUGENE LEATHERMAN (PT, DPT)

  • 161 E University Dr

    Auburn, AL 368325889

    Phone: (334) 826-2090

    Type: Location

  • 203 NARROWS PKWY STE D

    BIRMINGHAM, AL 352428649

    Phone: (706) 315-8175

    Fax: (888) 337-2181

    Type: Mailing

  • 1519 13TH AVE

    COLUMBUS, GA 319011908

    Phone: (706) 315-8175

    Fax: (888) 337-2181

    Type: Location

  • 161, East University Drive, Windsor Forest, Auburn, Lee County, Alabama, 36832, United States

    AUBURN, AL 368325889

    Phone: (334) 826-2090

    Type: Location

  • 4628, River Valley Road, Alderbrook, High Point, Guilford County, North Carolina, 27265, United States

    HIGH POINT, NC 27265

    Phone: (336) 665-8445

    Fax: (336) 665-8446

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190401000369IPhysical Therapist In Private PracticeALTBD
I20241126002486IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36832)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355254780View full group profile
NameSpecialtyState
-GA
-AL
Physical Therapist In Private PracticeGA
Physician AssistantAL
Physical Therapist In Private PracticeGA
Sports Medicine, Orthopedic Surgery, Orthopedic SurgeryGA
Nurse PractitionerGA
Physical Therapist In Private PracticeSC
Sports Medicine, Orthopedic SurgeryGA
Occupational Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What is the standard ID for MR. JEFFREY EUGENE LEATHERMAN (PT, DPT) in the U.S.?
In the U.S., MR. JEFFREY EUGENE LEATHERMAN (PT, DPT) is identified by NPI 1417064445.
Should I treat MR. JEFFREY EUGENE LEATHERMAN (PT, DPT) as an active provider?
Patients and plans typically see MR. JEFFREY EUGENE LEATHERMAN (PT, DPT) as active in the national extract.
What does the directory say MR. JEFFREY EUGENE LEATHERMAN (PT, DPT) does?
Insurance directories may phrase it differently, but here MR. JEFFREY EUGENE LEATHERMAN (PT, DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit MR. JEFFREY EUGENE LEATHERMAN (PT, DPT) in Auburn, Alabama?
For routing, start with Auburn, Alabama for MR. JEFFREY EUGENE LEATHERMAN (PT, DPT), then verify phone and hours locally.
Who maintains MR. JEFFREY EUGENE LEATHERMAN (PT, DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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