Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Leithauser, PT, DPT

Individual provider Physical Therapist · NPI 1205462892

Kevin Leithauser, PT, DPT is a Physical Therapist in Private Practice in Maywood, New Jersey. Qualified in 2020, 6 years ago. Practices with Maywood Physical Therapy LLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

119 E Passaic St
Maywood, NJ 07607-1342
Phone: (201) 880-7787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 Emerson Plz E Ste 102, Emerson, NJ 07630-1886 — (201) 523-9778

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01917400 (NJ)

Record details

NPI number1205462892
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedMarch 16, 2020
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023
Mailing address348 Coolidge Ave, Township Of Washington, NJ 07676-4704

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Maywood Physical Therapy Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maywood