Active NPI
Raymond A Leal, PT
- Physical Therapist
- Rockwall, TX
National Provider Identifier
1265782619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1221805
- Practice address
- 930 W Ralph Hall Pkwy
Ste120
Rockwall, TX 75032-6665 - Phone
- (972) 771-1090
- Fax
- (972) 771-6543
- NPI assigned
- Sep 13, 2012
- Last updated
- Sep 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1221805 | TX | Primary |
Addresses
Primary practice location
930 W Ralph Hall Pkwy
Ste120
Rockwall, TX 75032-6665
Mailing address
PO Box 2500
Rockwall, TX 75087-9000
Phone (972) 771-1090
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Chalon Corporation | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1265782619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2500",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750879000",
"telephone_number": "972-771-1090",
"fax_number": "972-771-6543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 W RALPH HALL PKWY",
"address_2": "STE120",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326665",
"telephone_number": "972-771-1090",
"fax_number": "972-771-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL",
"first_name": "RAYMOND",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1221805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.