Active NPI
Leslieann Rhodes Bock, PTA
- Specialist
- Sarasota, FL
National Provider Identifier
1336410687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PTA22730
- Practice address
- 741 S Beneva Rd
Sarasota, FL 34232-2411 - Phone
- (941) 957-0310
- NPI assigned
- Jan 18, 2012
- Last updated
- Jan 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PTA22730 | FL | Primary |
| Specialist | 174400000X | MA48747 | FL |
Addresses
Primary practice location
741 S Beneva Rd
Sarasota, FL 34232-2411
Mailing address
6913 Pleasant Hill Rd
Bradenton, FL 34203-7805
Phone (941) 779-8087
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA48747 | FL | MD | Specialist |
| PTA22730 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1336410687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6913 PLEASANT HILL RD",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342037805",
"telephone_number": "941-779-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 S BENEVA RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342322411",
"telephone_number": "941-957-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCK",
"first_name": "LESLIEANN",
"middle_name": "RHODES",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-18",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "PTA22730",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA48747",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.