Individual provider Active NPI

Leanna Michelle Stracco, PT

  • Physical Therapist
  • Austell, GA
National Provider Identifier
1205227873
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011769 Issued in GA
Practice address
1025 E West Connector
Ste 406
Austell, GA 30106-8513
Phone
(770) 384-1001
Fax
(404) 351-3896
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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 PT011769 GA Primary

Addresses

Primary practice location

1025 E West Connector
Ste 406
Austell, GA 30106-8513

Mailing address

1200 Corporate Dr
Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8923

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721002972 OR Practitioner - Physical Therapist in Private Practice 9234457946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Sep 5, 2017 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Sep 5, 2017 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

10065 SW Nimbus Ave
Beaverton, OR 97008
Phone (503) 992-6750

7208 NE Cornell Rd
Hillsboro, OR 97124
Phone (971) 353-4199

440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

6250 Commercial St SE
Salem, OR 97306
Phone (503) 485-1666

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 3

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": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1205227873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR",
            "address_2": "STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8923",
            "fax_number": "423-954-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E WEST CONNECTOR",
            "address_2": "STE 406",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068513",
            "telephone_number": "770-384-1001",
            "fax_number": "404-351-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRACCO",
        "first_name": "LEANNA",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.