Individual provider Active NPI

Leah Ashton Inniss, RPT

  • Orthopedic Physical Therapist
  • San Diego, CA
National Provider Identifier
1538226196
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 10334 Issued in CA
Practice address
6475 Alvarado Rd
#118
San Diego, CA 92120-5003
Phone
(619) 287-4678
Fax
(619) 287-0350
NPI assigned
Jan 2, 2007
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 10334 CA Primary

Addresses

Primary practice location

6475 Alvarado Rd
#118
San Diego, CA 92120-5003

Mailing address

6475 Alvarado Rd
Ste 118
San Diego, CA 92120-5007
Phone (619) 670-3697

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 10334CAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1538226196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD",
            "address_2": "STE 118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205007",
            "telephone_number": "619-670-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD",
            "address_2": "#118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205003",
            "telephone_number": "619-287-4678",
            "fax_number": "619-287-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNISS",
        "first_name": "LEAH",
        "middle_name": "ASHTON",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 10334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.