Individual provider Active NPI

Robert Steven Leshaw, D.C.

  • Chiropractor
  • Hollywood, FL
National Provider Identifier
1326108812
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH-7465 Issued in FL
Practice address
3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797
Phone
(954) 866-9693
NPI assigned
Dec 12, 2006
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH-7465 FL Primary

Addresses

Primary practice location

3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797

Mailing address

13664 W State Road 84
Davie, FL 33325-5302
Phone (954) 915-9944

Other practice location 1

13664 W State Road 84
Davie, FL 33325-5302
Phone (954) 915-9944

Other identifiers 2

IdentifierTypeStateIssuer
381064000MedicaidFL
124350500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000895 FL Practitioner - Chiropractic 3173558392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

3900 Hollywood Blvd
Suite 204
Hollywood, FL 33021-6797
Phone (954) 866-9693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH-7465FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp Chiropractor CurrentSince Oct 7, 2024 Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor Current Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor CurrentSince Oct 7, 2024 Accepting new patients
Tmjoc, Inc. Chiropractor Past Accepting new patients
Shenandoah Chiropractic, P.a. Chiropractor PastSince Jul 26, 2005 Accepting new patients
Markson Chiropractic Inc Chiropractor Past Accepting new patients
Real Healthcare, Inc. Chiropractor Past Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

3900 Hollywood Blvd
Ste 204
Hollywood, FL 33021
Phone (305) 306-0600

150 NW 168th St
Ste 304
North Miami Beach, FL 33169
Phone (786) 272-5697

100 NW 82nd Ave
Ste 204
Plantation, FL 33324
Phone (954) 474-0416

Organizations & group practices 7

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1326108812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13664 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255302",
            "telephone_number": "954-915-9944",
            "fax_number": "954-915-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD BLVD STE 204",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216797",
            "telephone_number": "954-866-9693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13664 W State Road 84",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333255302",
            "country_code": "US",
            "telephone_number": "954-915-9944",
            "fax_number": "954-915-9972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESHAW",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-7465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381064000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124350500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.