Christopher Randall Leo, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT301448 Issued in CA

Practice address

15373 Innovation Dr Ste 220
San Diego, CA 92128-3425

Phone

(858) 592-8855

NPI assigned

Feb 1, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eggleton and Langton Physical Therapy Management ServicesGroup PAC ID 0840192530, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Eggleton & Langton Physical Therapy Management Services

  • Multi-Specialty Clinic/Center
  • Escondido, CA
  • NPI 1972229805

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1215582739
  NPD
• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • Calexico, CA
  • NPI 1851347686
  NPD (past)

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1366195042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11033 MORNING CREEK DR S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283425",
            "telephone_number": "858-592-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "CHRISTOPHER",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT301448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Lenz
• Kyler Makua Lenz
• Christiane Lenzen, M.D.
• Brian Joseph Lenzkes, M.D.
• Leo John Meltvedt Jr DC
• Ming Leo, PHARMD
• Maribel Leon - Rubalcava, BCBA
• Leon Fajerman
• Mariana Leon Garcia
• Christina Anna Leon Guerrero

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.