Leanna Ballschmieder

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA31818 Issued in FL

Practice address

14813 N Dale Mabry Hwy
Tampa, FL 33618-2027

Phone

(813) 964-5982

NPI assigned

Aug 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sports and Orthopedic Rehabilitation Services Inc

  • Physical Therapy Clinic/Center
  • Riverview, FL
  • NPI 1841981073
  NPD (past)

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1104545359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9481 HIGHLAND OAK DR UNIT 1311",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472522",
            "telephone_number": "386-627-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14813 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182027",
            "telephone_number": "813-964-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLSCHMIEDER",
        "first_name": "LEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA31818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "Y",
            "affiliationName": "Select Physical Therapy Holdings Inc",
            "address_1": "4735 Norrel Dr",
            "address_2": "Ste 3",
            "city": "Trussville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalia Ballesteros, M.D.
• Judy Ballich, PA-C
• Lexy Leigh Ballinger, DOM
• Erjola Balliu, M.D.
• Mark Ballow, MD
• Meian Santos Balntas, CRNA
• Nicole Marie Balogh, BCBA
• Jessica Nicole Balok-Angelilli, APRN
• Adairis Balsa Alfonso, BCBA, LMHC
• Roberto Balsa, LMT

• Physical Therapy Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.