Individual provider Active NPI

Leanne L Quinn, P.T.

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1154419190
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9948 Issued in FL
Practice address
2783 SW 87TH Dr Ste 102
Gainesville, FL 32608-9375
Phone
(352) 505-6665
Fax
(352) 226-8744
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT9948 FL Primary

Addresses

Primary practice location

2783 SW 87TH Dr Ste 102
Gainesville, FL 32608-9375

Mailing address

2783 SW 87TH Dr Ste 102
Gainesville, FL 32608-9375
Phone (352) 505-6665

Other identifiers 2

IdentifierTypeStateIssuer
PT9948OtherFLPHYSICAL THERAPIST
Y6791OtherFLBCBS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060420000602 FL Practitioner - Physical Therapist in Private Practice 6901815877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetix Physical Therapy P aGroup PAC ID 5092810739, 10 clinicians

Practice addresses (Care Compare)

2783 SW 87TH Dr
Suite 102
Gainesville, FL 32608-9370
Phone (352) 505-6665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT9948FLMDPhysical Therapist

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Kinetix Physical Therapy P a Physical Therapist CurrentSince May 15, 2017 Accepting new patients
Leading Edge Physical Therapy & Sports, Inc. Physical Therapist Past Accepting new patients

Locations

2839 SW 87th Dr
Ste 10
Gainesville, FL 32608
Phone (352) 505-6665

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154419190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 SW 87TH DR STE 102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089375",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 SW 87TH DR STE 102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089375",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "LEANNE",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT9948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "PT9948",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "Y6791",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

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.

Verify at the official NPI Registry.