Individual provider Active NPI

Stephanie Leale, PT, DPT

  • Physical Therapist
  • Wesley Chapel, FL
National Provider Identifier
1417669169
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40258 Issued in FL
Practice address
28701 Falling Leaves Way
Wesley Chapel, FL 33543-5756
Phone
(973) 769-7412
NPI assigned
Dec 14, 2022
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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 PT40258 FL Primary

Addresses

Primary practice location

28701 Falling Leaves Way
Wesley Chapel, FL 33543-5756

Mailing address

28701 Falling Leaves Way
Wesley Chapel, FL 33543-5756
Phone (973) 769-7412

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40258FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Leale PT DPT LLC Physical Therapist CurrentSince Mar 12, 2024 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 13, 2024 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1417669169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28701 FALLING LEAVES WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435756",
            "telephone_number": "973-769-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28701 FALLING LEAVES WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435756",
            "telephone_number": "973-769-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEALE",
        "first_name": "STEPHANIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.