Organization Active NPI

New Leaf Recreation, LLC

Doing business as New Leaf Specialized Therapies

  • Recreation Therapist
  • Fort Wayne, IN
National Provider Identifier
1003707126
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Legal business name
NEW LEAF RECREATION, LLC
Doing business as
New Leaf Specialized Therapies
Practice address
104 E Collins Rd
Fort Wayne, IN 46825-5302
Phone
(260) 267-5425
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Taylor Stieb
Title
Co-Owner/Recreational Therapist
Phone
(419) 509-4697

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X Primary

Addresses

Primary practice location

104 E Collins Rd
Fort Wayne, IN 46825-5302

Mailing address

104 E Collins Rd
Fort Wayne, IN 46825-5302
Phone (260) 267-5425

Other names 1

  • New Leaf Specialized Therapies Doing business as

National Provider Directory

National Provider Directory

Locations

104 E Collins Rd
Fort Wayne, IN 46825
Phone (260) 267-5425

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1003707126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E COLLINS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255302",
            "telephone_number": "260-267-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E COLLINS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255302",
            "telephone_number": "260-267-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF RECREATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "STIEB",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "CO-OWNER/RECREATIONAL THERAPIST",
        "authorized_official_telephone_number": "419-509-4697"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Specialized Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.