Leigha Tate Jarzombek, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1371292 Issued in TX

Practice address

731 E Southlake Blvd Ste 150
Southlake, TX 76092-6380

Phone

(817) 442-8600

Fax

(817) 442-8603

NPI assigned

Sep 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Leigha Tate Noey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1366058216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MARIN BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026491",
            "telephone_number": "551-313-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E SOUTHLAKE BLVD STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926380",
            "telephone_number": "817-442-8600",
            "fax_number": "817-442-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARZOMBEK",
        "first_name": "LEIGHA",
        "middle_name": "TATE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01944600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1371292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGHA",
            "last_name": "NOEY",
            "middle_name": "TATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mrudul Rajan Jagtap, OTR/L
• James Holt, DDS, PA
• Kevin Bernard James, M. D.
• Charla G Janecka, LPC-A
• Kathleen Clare Janusz, OTR, MED
• Joseph Jasser, M.D.
• Carla Jauregui
• Jawad a Qureshi MD PA
• Dardhielle Jean, OTR/L
• Jeanette Doster, PH.D., P.C.

• Physical Therapist in Southlake, TX
• Providers in Southlake, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.