Leona Backus

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2789 Ortiz Ave
Fort Myers, FL 33905-7806

Phone

(239) 275-3222

Fax

(239) 278-9058

NPI assigned

Jan 9, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1104248277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 IVY BROOK RUN",
            "address_2": "#509",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137759",
            "telephone_number": "202-579-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 ORTIZ AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057806",
            "telephone_number": "239-275-3222",
            "fax_number": "239-278-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "LEONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benson Abbi Babu, M.D.
• Lijy Babu, CRNA
• Back in Motion Specialty Practice LLC
• Back in Motion Sport & Spine Physical Therapy LLC
• Back Pain Institute of Ft. Myers, Inc.
• Bruce Cleaveland Bacon, M.D.
• Anais Aurora Badia, DO MD
• Karissa Janisse Badillo Storer, DPM
• Mitko Mitov Badov, M.D.
• Ernesto Jose Badui Cantisano, M.D.

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.