Organization Active NPI

Leaps and Bounds Pediatric Physical Therapy Inc

Doing business as Leaps and Bounds Pediatric Therapy

  • Physical Therapist
  • Norco, CA
National Provider Identifier
1407174980
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LEAPS AND BOUNDS PEDIATRIC PHYSICAL THERAPY INC
Doing business as
Leaps and Bounds Pediatric Therapy
Practice address
4211 Valley View Ave
Norco, CA 92860-3502
Phone
(951) 340-0431
Fax
(951) 893-5135
NPI assigned
May 10, 2010
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Cassandra Danae Sanders-Holly, DPTNPI 1821034091
Title
Director/Owner
Phone
(951) 340-0431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

4211 Valley View Ave
Norco, CA 92860-3502

Mailing address

PO Box 6604
Norco, CA 92860-8053
Phone (951) 340-0431

Other practice location 1

2795 Cabot Dr Ste 6-115
Corona, CA 92883-7377
Phone (951) 340-0431

Other names 1

  • Leaps and Bounds Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2795 Cabot Dr
Ste 6115
Corona, CA 92883
Phone (951) 340-0431

343 6th St
Ste L
Norco, CA 92860
Phone (951) 235-7456

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1407174980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6604",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928608053",
            "telephone_number": "951-340-0431",
            "fax_number": "951-893-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 VALLEY VIEW AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603502",
            "telephone_number": "951-340-0431",
            "fax_number": "951-893-5135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2795 Cabot Dr Ste 6-115",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928837377",
            "country_code": "US",
            "telephone_number": "951-340-0431",
            "fax_number": "951-893-5135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEAPS AND BOUNDS PEDIATRIC PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "SANDERS-HOLLY",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "DANAE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "951-340-0431",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leaps and Bounds Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leaps and Bounds Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.