Individual provider Active NPI

Leah Moss, DC

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1457114357
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14876 Issued in FL
Practice address
3200 4TH St N
Saint Petersburg, FL 33704-2157
Phone
(662) 436-4161
NPI assigned
Feb 2, 2024
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14876 FL Primary

Addresses

Primary practice location

3200 4TH St N
Saint Petersburg, FL 33704-2157

Mailing address

7763 Ridgelake Cir
Bradenton, FL 34203-2510
Phone (321) 696-9462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705000947 FL Practitioner - Chiropractic 9032653704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Wellness and Chiropractic Centers, IncGroup PAC ID 5991982258, 4 clinicians

Practice addresses (Care Compare)

8405 US Hwy 301 N
Suite 104
Parrish, FL 34219-8604
Phone (727) 560-1150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14876FLMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Shoreline Clinic, LLC Chiropractor CurrentSince Apr 26, 2024 Accepting new patients
Farkas Chiropractic Clinic PA Chiropractor CurrentSince Sep 3, 2025 Accepting new patients
Manatee Wellness & Chiropractic Centers, Inc CurrentSince Feb 24, 2026 Accepting new patients

Locations

8792 State Road 70 E
Ste 101
Bradenton, FL 34202
Phone (727) 560-1150

8405 US Highway 301 N
Ste 104
Parrish, FL 34219
Phone (727) 560-1150

4426 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 371-5002

3200 4th St N
St Petersburg, FL 33704
Phone (727) 242-8000

209 Nassau St S
Ste 103
Venice, FL 34285

Organizations & group practices 3

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": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1457114357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7763 RIDGELAKE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342032510",
            "telephone_number": "321-696-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337042157",
            "telephone_number": "662-436-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "LEAH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.