LYDIA RADERSTORF-LEACH DPT
NPI 1215547955
Physical Therapist in Kokomo, IN
About Lydia Raderstorf-leach Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA RADERSTORF-LEACH DPT (NPI 1215547955) is an individual physical therapist in Kokomo, Indiana, licensed in Indiana (05013831A) and active in the NPI registry since August 2020.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lydia Raderstorf-leach Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lydia Raderstorf-leach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peru, IN 46970
- Reassigned Medicare billing, Indiana enrollment
- 113 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lydia Raderstorf-leach's NPI number?
The NPI number for Lydia Raderstorf-leach is 1215547955. It was assigned to this individual provider in the NPPES registry on August 7, 2020.
Where is Lydia Raderstorf-leach located?
Lydia Raderstorf-leach practices at 2108 E Boulevard, Kokomo, IN 46902. The listed phone number is (765) 416-8480.
What is Lydia Raderstorf-leach's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Lydia Raderstorf-leach enrolled in Medicare?
Yes. Lydia Raderstorf-leach is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lydia Raderstorf-leach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Raderstorf-leach reassigns Medicare benefits to Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Peru, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Raderstorf-leach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lydia Raderstorf-leach accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Lydia Raderstorf-leach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lydia Raderstorf-leach was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.