Leading Edge Rehabilitation Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LEADING EDGE REHABILITATION INC.

Practice address

3707 Villamore LN
Odessa, FL 33556-4196

Phone

(813) 597-8985

NPI assigned

Sep 13, 2022

Last updated

Sep 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard A Mauro, PTNPI 1386817542

Title

President

Phone

(813) 597-8985

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Anthony Mauro, P.T.

  • Physical Therapist
  • Lutz, FL
  • NPI 1386817542
  NPD Authorized official

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1114649605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 VILLAMORE LN",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564196",
            "telephone_number": "813-597-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 VILLAMORE LN",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564196",
            "telephone_number": "813-597-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING EDGE REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-597-8985",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zulema Kolozsvary, APRN
• Linsey Christine Landosky, RN, IBCLC
• Kaele Lawless
• Alyse Lazaro
• Minh Le, DMD
• Katie Leahy, M.S., RDN, LD
• Marianela Lee, LDO
• Shaunese Nicole Lee, LMHC
• Lauren Levine
• Life Back Enterprises, Inc

• Physical Therapist in Odessa, FL
• Providers in Odessa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.