Active NPI
Jennifer Leach, PT
- Orthopedic Physical Therapist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- LPT-30092
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-30092 | AZ | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Figueroa Physical Therapy | Physical Therapist | Current | 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.
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1154861417
-
- Physical Therapist
- Goodyear, AZ
- NPI 1316996978
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.