Active NPI
Lea Ren Villanueva Macalma, PT, DPT
- Physical Therapist
- Fayetteville, NC
National Provider Identifier
1285399634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19762
- Practice address
- 1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774 - Phone
- (910) 484-4653
- Fax
- (910) 483-9256
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | CP014374T | OR | |
| Physical Therapist | 225100000X | CP023026T | MD | |
| Physical Therapist | 225100000X | P19762 | NC | Primary |
Addresses
Primary practice location
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Mailing address
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653
Other names 1
- Lea Ren Villanueva Villanueva Macalma
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9 Schilling Rd
Suite LL3
Hunt Valley, MD 21031-8644
Phone (410) 229-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP023026T | MD | MD | Physical Therapist |
| CP014374T | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William J Pogoda MD PA | Current | Accepting new patients | |
| 4 Oaks Physical Therapy of Harford County | Physical Therapist | Current | Accepting new patients |
| Mountain View Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
9 Schilling Rd
Ste LL3
Hunt Valley, MD 21031
Phone (410) 229-9800
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.
-
- Physical Therapy Clinic/Center
- Hunt Valley, MD
- NPI 1245882224
Physical Therapist
-
- Specialist
- Hunt Valley, MD
- NPI 1619098696
-
- Physical Therapy Clinic/Center
- Klamath Falls, OR
- NPI 1962513945
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1285399634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 FORDHAM DR STE 102",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043774",
"telephone_number": "910-484-4653",
"fax_number": "910-483-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 FORDHAM DR STE 102",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043774",
"telephone_number": "910-484-4653",
"fax_number": "910-483-9256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACALMA",
"first_name": "LEA REN",
"middle_name": "VILLANUEVA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "CP014374T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "CP023026T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEA REN",
"last_name": "VILLANUEVA MACALMA",
"middle_name": "VILLANUEVA",
"credential": "PT, DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.