Individual provider Active NPI

Jennifer Leach, PT

  • Orthopedic Physical Therapist
  • Mesa, AZ
National Provider Identifier
1528554334
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
LPT-30092 Issued in AZ
Practice address
7227 E Baseline Rd Ste 106
Mesa, AZ 85209-5005
Phone
(480) 823-5777
NPI assigned
Jul 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X LPT-30092 AZ
Physical Therapist 225100000X LPT-30092 AZ
Geriatric Physical Therapist 2251G0304X LPT-30092 AZ
Neurology Physical Therapist 2251N0400X LPT-30092 AZ
Orthopedic Physical Therapist 2251X0800X LPT-30092 AZ Primary

Addresses

Primary practice location

7227 E Baseline Rd Ste 106
Mesa, AZ 85209-5005

Mailing address

7242 E Monte Ave
Mesa, AZ 85209-4971
Phone (616) 257-7902

Other practice location 1

7242 E Monte Ave
Mesa, AZ 85209-4971
Phone (616) 257-7902

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180727001833 AZ Practitioner - Physical Therapist in Private Practice 0547517104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Physical Medicine LLCGroup PAC ID 2567749013, 2 clinicians

Practice addresses (Care Compare)

7227 E Baseline Rd
Suite 106
Mesa, AZ 85209-5005
Phone (480) 832-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-30092AZMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Figueroa Physical Therapy Physical Therapist CurrentSince Jul 9, 2018 Accepting new patients

Locations

6213 S Miller Rd
Ste 103
Buckeye, AZ 85326
Phone (623) 386-2660

3050 N Litchfield Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 935-0626

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1528554334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7242 E MONTE AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094971",
            "telephone_number": "616-257-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 E BASELINE RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095005",
            "telephone_number": "480-823-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7242 E Monte Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852094971",
            "country_code": "US",
            "telephone_number": "616-257-7902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-04",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "AZ",
            "license": "LPT-30092",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30092",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AZ",
            "license": "LPT-30092",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "AZ",
            "license": "LPT-30092",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "LPT-30092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

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