Active NPI
Leandra Danza, DPT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1043610082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038139-1
- Practice address
- 1931 Richmond Ave Ste 203
Staten Island, NY 10314 - Phone
- (718) 477-1911
- Fax
- (718) 477-1971
- NPI assigned
- Aug 27, 2014
- Last updated
- Aug 30, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 038-139 | NY | |
| Physical Therapist | 225100000X | 038139-1 | NY | Primary |
Addresses
Primary practice location
1931 Richmond Ave Ste 203
Staten Island, NY 10314
Mailing address
1931 Richmond Ave Ste 203
Staten Island, NY 10314-3889
Phone (718) 477-1911
Other practice location 1
69 Guyon Ave
Staten Island, NY 10306-2018
Phone (718) 979-7013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-139 | NY | MD | Physical Therapist |
| 038139-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1043610082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 RICHMOND AVE STE 203",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143889",
"telephone_number": "718-477-1911",
"fax_number": "718-477-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 RICHMOND AVE STE 203",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-477-1911",
"fax_number": "718-477-1971"
}
],
"practiceLocations": [
{
"address_1": "69 Guyon Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103062018",
"country_code": "US",
"telephone_number": "718-979-7013",
"fax_number": "718-980-2868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANZA",
"first_name": "LEANDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038-139",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038139-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.