Individual provider Active NPI

Rebekah Jo Leon, DPT

  • Physical Therapist
  • Cutler Bay, FL
National Provider Identifier
1356813109
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34139 Issued in FL
Practice address
18465 S Dixie Hwy
Cutler Bay, FL 33157-6815
Phone
(786) 293-6800
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34139 FL Primary

Addresses

Primary practice location

18465 S Dixie Hwy
Cutler Bay, FL 33157-6815

Mailing address

30054 SW 158TH CT
Homestead, FL 33033-3448
Phone (305) 748-1739

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505001388 TN Practitioner - Physical Therapist in Private Practice 0244757128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Physiotherapy LLCGroup PAC ID 8426403247, 4 clinicians

Practice addresses (Care Compare)

2443 Old Russellville Pike
Suite a
Clarksville, TN 37040-5833
Phone (931) 229-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34139FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Physiotherapy LLC Physical Therapist CurrentSince Mar 25, 2025 Accepting new patients

Locations

2443 Old Russellville Pike
Ste A
Clarksville, TN 37040
Phone (931) 229-0023

2443 Old Russellville Pike
Clarksville, TN 37040
Phone (931) 229-0023

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1356813109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30054 SW 158TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333448",
            "telephone_number": "305-748-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18465 S DIXIE HWY",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576815",
            "telephone_number": "786-293-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "REBEKAH",
        "middle_name": "JO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.