Individual provider Active NPI

Steven Andrew McLeod

  • Physical Therapy Assistant
  • Eastvale, CA
National Provider Identifier
1497497267
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA10245 Issued in CA
Practice address
14252 Schleisman Rd Ste 203
Eastvale, CA 92880-4026
Phone
(951) 460-0200
NPI assigned
Apr 11, 2022
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA10245 CA Primary

Addresses

Primary practice location

14252 Schleisman Rd Ste 203
Eastvale, CA 92880-4026

Mailing address

11884 Albion Way
Moreno Valley, CA 92557-6172
Phone (944) 306-9617

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA10245CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bodybasics Physical Therapy, Inc. CurrentSince Feb 27, 2023 Accepting new patients
Bodybasics Physical Therapy, Inc CurrentSince Apr 17, 2022 Accepting new patients

Locations

14252 Schleisman Rd
Ste 203
Eastvale, CA 92880
Phone (951) 273-7742

Organizations & group practices 2

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1497497267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11884 ALBION WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576172",
            "telephone_number": "944-306-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14252 SCHLEISMAN RD STE 203",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928804026",
            "telephone_number": "951-460-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA10245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.