Individual provider Active NPI

Tanya Leigh Macleod, PT, DPT

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1447297262
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT32763 Issued in CA
Practice address
10585 Santa Monica Blvd
Suite #100
Los Angeles, CA 90025-4921
Phone
(310) 663-5546
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT32763 CA Primary

Addresses

Primary practice location

10585 Santa Monica Blvd
Suite #100
Los Angeles, CA 90025-4921

Mailing address

911 7TH St
Suite D
Santa Monica, CA 90403-2779
Phone (310) 663-5546

Other identifiers 1

IdentifierTypeStateIssuer
PT32763OtherCASTATE LICENSE NUMBER

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
PT32763CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Health Physical Therapy, Inc. Orthopedic CurrentSince Jun 12, 2007 Accepting new patients
Rehab Specialists, Inc Orthopedic PastSince May 23, 2022 Accepting new patients
Adi Rehab, Incorporated Orthopedic PastSince Nov 24, 2019 Accepting new patients
Blake Physical Therapy, PC Orthopedic PastSince Dec 16, 2002 Accepting new patients

Locations

10585 Santa Monica Blvd
#100
Los Angeles, CA 90025
Phone (310) 481-0644

10585 Santa Monica Blvd
Ste 100
Los Angeles, CA 90025
Phone (310) 441-2120

Organizations & group practices 4

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1447297262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 7TH ST",
            "address_2": "SUITE D",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032779",
            "telephone_number": "310-663-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 SANTA MONICA BLVD",
            "address_2": "SUITE #100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254921",
            "telephone_number": "310-663-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "TANYA",
        "middle_name": "LEIGH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT32763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT32763",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.