Christina Leisen, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41410 Issued in CA

Practice address

532 Sonoma Ave Apt a
Santa Rosa, CA 95401-8542

Phone

(707) 217-9157

NPI assigned

Nov 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Forward Wellness and Physical TherapyGroup PAC ID 4183773492, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Focus Forward Wellness & Physical Therapy

  • Physical Therapy Clinic/Center
  • Calistoga, CA
  • NPI 1932353034
  Medicare reassignment Care Compare group
• Patricia Donovan Martinez, P.T.

  • Physical Therapist
  • Sebastopol, CA
  • NPI 1326180175
  Medicare reassignment
• Sebastopol Physical Therapy and Pilates Studio

  • Physical Therapist
  • Sebastopol, CA
  • NPI 1538201546
  NPD (past)

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1023414711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SONOMA AVE APT A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954018542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 SONOMA AVE APT A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954018542",
            "telephone_number": "707-217-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISEN",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avrom Lefkowitz, MFT IMF
• Lehman Waggener Professional Dental Corporation
• Jason Thomas Lehman, D.M.D
• Karen L Leider, MD
• Jeri Lynn Leise, MFT
• Corrie Christopher Leisen, DDS
• Rhonda Lynne Lekander, RRT
• Joel Williams Lemaitre, MD
• Semaj Lemelle Campbell
• Daniel Michael Lennox

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.