NPIMap

Organization Active NPI

Leap Pediatric Therapy and Sports Medicine PLLC

  • Physical Therapy Clinic/Center
  • Plantation, FL
National Provider Identifier
1497374367
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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
Last updated
Apr 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Alicia Teeters, DPTNPI 1457883571
Title
Owner/ Doctor of Physical Therapy
Phone
(443) 286-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI 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.

Verify at the official NPI Registry.