Individual provider Active NPI

Anthony Leseca, PT

  • Geriatric Physical Therapist
  • Santa Clarita, CA
National Provider Identifier
1174714893
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
WPT28266B Issued in CA
Practice address
21957 Mikhail St
Santa Clarita, CA 91390-5720
Phone
(661) 803-7384
Fax
(661) 263-6463
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X WPT28266B CA Primary

Addresses

Primary practice location

21957 Mikhail St
Santa Clarita, CA 91390-5720

Mailing address

21957 Mikhail St
Santa Clarita, CA 91390-5720
Phone (661) 803-7384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WPT28266BCAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Lifestyle Healthcare, Inc. PastSince Mar 29, 2004 Accepting new patients

Organizations & group practices 1

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1174714893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21957 MIKHAIL ST",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905720",
            "telephone_number": "661-803-7384",
            "fax_number": "661-263-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21957 MIKHAIL ST",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905720",
            "telephone_number": "661-803-7384",
            "fax_number": "661-263-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESECA",
        "first_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "WPT28266B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.