Active NPI
Krizzlie Anne Dawang Lleva
- Physical Therapist
- Fayetteville, NC
National Provider Identifier
1548071160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P24882
- Practice address
- 4140 Ramsey St Ste 110
Fayetteville, NC 28311-7658 - Phone
- (910) 920-4903
- NPI assigned
- Jan 14, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P24882 | NC | Primary |
| Physical Therapy Assistant | 225200000X | 014098 | NY |
Addresses
Primary practice location
4140 Ramsey St Ste 110
Fayetteville, NC 28311-7658
Mailing address
11811 Springfield Blvd
Cambria Heights, NY 11411-1921
Phone (347) 337-8824
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1548071160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11811 SPRINGFIELD BLVD",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111921",
"telephone_number": "347-337-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 RAMSEY ST STE 110",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283117658",
"telephone_number": "910-920-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLEVA",
"first_name": "KRIZZLIE ANNE",
"middle_name": "DAWANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-14",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P24882",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "014098",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.