Active NPI
Leela Satyendra, PT
- Physical Therapist
- San Rafael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT23921
- Practice address
- 4050 Redwood Hwy Ste G
San Rafael, CA 94903-5149 - Phone
- (415) 479-7100
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- 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 | PT23921 | CA | Primary |
Addresses
Primary practice location
4050 Redwood Hwy Ste G
San Rafael, CA 94903-5149
Mailing address
4050 Redwood Hwy Ste G
San Rafael, CA 94903-5149
Phone (415) 479-7100
Other practice location 1
99 Montecillo Rd
Mob2
San Rafael, CA 94903-3308
Phone (415) 444-4247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1427 Grant Ave
Novato, CA 94945-3118
Phone (415) 895-1705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23921 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Marin Physical Therapy Inc | Current | Accepting new patients | |
| Renew Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
421 Miller Ave
Mill Valley, CA 94941
Phone (415) 388-8166
1427 Grant Ave
Novato, CA 94945
Phone (415) 275-2377
460 Boulevard Way
Ste 2D
Piedmont, CA 94610
Phone (510) 922-8872
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Novato, CA
- NPI 1255508453
Physical Therapist
-
- Physical Therapy Clinic/Center
- Larkspur, CA
- NPI 1184852766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1033272893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 REDWOOD HWY STE G",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949035149",
"telephone_number": "415-479-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 REDWOOD HWY STE G",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949035149",
"telephone_number": "415-479-7100"
}
],
"practiceLocations": [
{
"address_1": "99 Montecillo Rd",
"address_2": "MOB2",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949033308",
"country_code": "US",
"telephone_number": "415-444-4247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SATYENDRA",
"first_name": "LEELA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT23921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.