NPIMap

Individual provider Active NPI

Leslie Ann Diaz, PT, DPT

  • Orthopedic Physical Therapist
  • Tampa, FL
National Provider Identifier
1174922207
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
29336 Issued in FL
Practice address
14813 N Dale Mabry Hwy Ste 720
Tampa, FL 33618-2027
Phone
(813) 964-5982
Fax
(813) 964-5618
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29336 FL
Orthopedic Physical Therapist 2251X0800X 29336 FL Primary

Addresses

Primary practice location

14813 N Dale Mabry Hwy Ste 720
Tampa, FL 33618-2027

Mailing address

4201 Cartnal Ave
Tampa, FL 33618-8600
Phone (305) 301-0688

Other practice location 1

22957 Port Royal Ln
Cudjoe Key, FL 33042-4304
Phone (305) 301-0688

Other names 1

  • Dr. Leslie Ann Spinella Former name

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
29336FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc Physical Therapist PastSince Mar 16, 2020 Accepting new patients
Body Owners Physical Therapy & Wellness Center, LLC Physical Therapist PastSince Aug 14, 2014 Accepting new patients

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1174922207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CARTNAL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188600",
            "telephone_number": "305-301-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14813 N DALE MABRY HWY STE 720",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182027",
            "telephone_number": "813-964-5982",
            "fax_number": "813-964-5618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22957 Port Royal Ln",
            "address_purpose": "LOCATION",
            "city": "Cudjoe Key",
            "state": "FL",
            "postal_code": "330424304",
            "country_code": "US",
            "telephone_number": "305-301-0688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "29336",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "29336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "SPINELLA",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.