Active NPI
Leap Pediatric Therapy and Sports Medicine PLLC
- Physical Therapy Clinic/Center
- Plantation, FL
National Provider Identifier
1497374367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- LEAP PEDIATRIC THERAPY AND SPORTS MEDICINE PLLC
- Practice address
- 700 SW 78TH Ave Apt 423
Plantation, FL 33324-3372 - Phone
- (443) 286-3937
- NPI assigned
- Apr 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Teeters, DPT
- Title
- Owner/ Doctor of Physical Therapy
- Phone
- (443) 286-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
700 SW 78TH Ave Apt 423
Plantation, FL 33324-3372
Mailing address
700 SW 78TH Ave Apt 423
Plantation, FL 33324-3372
Phone (443) 286-3937
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586476800000",
"number": "1497374367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SW 78TH AVE APT 423",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243372",
"telephone_number": "443-286-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SW 78TH AVE APT 423",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243372",
"telephone_number": "443-286-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAP PEDIATRIC THERAPY AND SPORTS MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A",
"authorized_official_last_name": "TEETERS",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "OWNER/ DOCTOR OF PHYSICAL THERAPY",
"authorized_official_telephone_number": "443-286-3937",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.