Active NPI
Juan Rodrigo Leija Jr.
- Physical Therapist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1293079
- Practice address
- 11219 Potranco Rd Ste A110
San Antonio, TX 78253-5848 - Phone
- (210) 679-6900
- Fax
- (210) 679-6904
- NPI assigned
- Sep 11, 2017
- Last updated
- Jun 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1293079 | TX | Primary |
Addresses
Primary practice location
11219 Potranco Rd Ste A110
San Antonio, TX 78253-5848
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
3233 W Charleston Blvd Ste 107
Las Vegas, NV 89102-1923
Phone (702) 258-9381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 85.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1293079 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Current | Accepting new patients | |
| Physiosports Therapy, PLLC | Past | Accepting new patients |
Locations
4647 Medical Dr
San Antonio, TX 78229
Phone (210) 358-2710
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University Medicine Associates
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
-
- Physical Therapy Clinic/Center
- Edinburg, TX
- NPI 1073865580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1023537107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11219 POTRANCO RD STE A110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782535848",
"telephone_number": "210-679-6900",
"fax_number": "210-679-6904"
}
],
"practiceLocations": [
{
"address_1": "3233 W Charleston Blvd Ste 107",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021923",
"country_code": "US",
"telephone_number": "702-258-9381",
"fax_number": "702-258-9584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEIJA",
"first_name": "JUAN",
"middle_name": "RODRIGO",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-11",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1293079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.