Anessa Marie Leyva, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT42091 Issued in FL

Practice address

36474C Emerald Coast Pkwy Ste 3101
Destin, FL 32541-6701

Phone

(850) 863-2153

Fax

(850) 809-4312

NPI assigned

Aug 12, 2024

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerald Coast Physical Therapy LLCGroup PAC ID 2163754722, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Emerald Coast Physical Therapy LLC

  • Physical Therapist
  • Destin, FL
  • NPI 1780141572
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1174354062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231627",
            "telephone_number": "904-396-1725",
            "fax_number": "904-396-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36474C EMERALD COAST PKWY STE 3101",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325416701",
            "telephone_number": "850-863-2153",
            "fax_number": "850-809-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 S Ferdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325365235",
            "country_code": "US",
            "telephone_number": "850-863-2153",
            "fax_number": "850-809-4312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1034 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476639",
            "country_code": "US",
            "telephone_number": "850-863-2153",
            "fax_number": "850-809-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYVA",
        "first_name": "ANESSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Luther Lentz Jr., M.D.
• Charles B Lenzy, CLINICAL HYPNOTHERAP
• Leslie Marie Lesage, DPT
• Shelly Leugers
• Christie Sumrall Levi, FNP-C
• Dennis Lichorwic
• Lauren Lindley
• Live in Faith & Enlightenment Therapy LLC
• Ashley Lopez
• Loudermilk Medical PLLC

• Physical Therapist in Destin, FL
• Providers in Destin, 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 10, 2026; 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.