Individual provider Active NPI

Krista Leake, PT

  • Orthopedic Physical Therapist
  • Lynchburg, VA
National Provider Identifier
1275828378
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305005396 Issued in VA
Practice address
801 Wyndhurst Dr
Lynchburg, VA 24502-2550
Phone
(434) 237-8160
Fax
(434) 237-8161
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305005396 VA Primary

Addresses

Primary practice location

801 Wyndhurst Dr
Lynchburg, VA 24502-2550

Mailing address

3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone (434) 200-5032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050831000851 VA Practitioner - Physical Therapist in Private Practice 0941232722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Outpatient Rehabilitation Services LLCGroup PAC ID 4789909987, 29 clinicians

Practice addresses (Care Compare)

2125 Langhorne Rd
Suite 205
Lynchburg, VA 24501-1423
Phone (434) 200-4200

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
87.16
Improvement activities
40
Cost
79.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305005396VAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Outpatient Rehabilitation Services LLC Orthopedic CurrentSince Feb 1, 2015 Accepting new patients
Rehabilitation Associates of Central Virginia, Inc. PastSince Aug 1, 1997 Accepting new patients

Locations

801 Wyndhurst Dr
Lynchburg, VA 24502
Phone (434) 237-8160

3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668

125 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 200-3908

2125 Langhorne Rd
Ste 205
Lynchburg, VA 24501
Phone (434) 200-4200

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1275828378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032030",
            "telephone_number": "434-200-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WYNDHURST DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022550",
            "telephone_number": "434-237-8160",
            "fax_number": "434-237-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "KRISTA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305005396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.