Individual provider Active NPI

Leonilo Pablo Jr.

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1548667520
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215555 Issued in VA
Practice address
2050 Abbey Rd Ste B
Charlottesville, VA 22911-3553
Phone
(904) 269-2437
Fax
(904) 264-2330
NPI assigned
Nov 19, 2014
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215555 VA Primary

Addresses

Primary practice location

2050 Abbey Rd Ste B
Charlottesville, VA 22911-3553

Mailing address

PO Box 932184
Atlanta, GA 31193-2184
Phone (434) 978-7194

Other practice location 1

38 Ebco Cir
Waynesboro, VA 22980-7344
Phone (540) 490-0308

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

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1548667520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184",
            "telephone_number": "434-978-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ABBEY RD STE B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113553",
            "telephone_number": "904-269-2437",
            "fax_number": "904-264-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Ebco Cir",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229807344",
            "country_code": "US",
            "telephone_number": "540-490-0308",
            "fax_number": "540-451-7064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PABLO",
        "first_name": "LEONILO",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.