Leonard Stavropolskiy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015799 Issued in PA

Practice address

10100 Jamison Ave Ste 222
Philadelphia, PA 19116-3832

Phone

(215) 676-3870

Fax

(215) 676-6856

NPI assigned

Jun 1, 2006

Last updated

Feb 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Approach Rehabilitation Center LLCGroup PAC ID 2567353402, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.58 of 100Reported as group

Quality

83.06

Improvement activities

40

Cost

84.2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eastern Approach Rehabilitation Center LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1760423602

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Aquatic Therapy of Chinatown

  • Chiropractor
  • Philadelphia, PA
  • NPI 1518902253
  NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1487691168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 JAMISON AVE STE 222",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163832",
            "telephone_number": "215-676-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 JAMISON AVE STE 222",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163832",
            "telephone_number": "215-676-3870",
            "fax_number": "215-676-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVROPOLSKIY",
        "first_name": "LEONARD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007444L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101092010003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Stavarski
• Joseph Robert Stavish
• Samantha Stavola
• Thomas James Stavola, DO
• Kelly Stavrides, LPC
• S. William Stavropoulos, MD
• Lawrence John Stawkowski, DO
• Michael A Stawnychy, CRNP
• Vanessa Stay, LPC
• STC Opco LLC (Apple Pharmacy at St Christopher's)

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.