Active NPI
Alex Leonard
- Physical Therapy Assistant
- Austin, TX
National Provider Identifier
1558903575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2141107
- Practice address
- 4225 Guadalupe St
Austin, TX 78751-4224 - Phone
- (737) 204-0089
- NPI assigned
- Oct 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2141107 | TX | Primary |
Addresses
Primary practice location
4225 Guadalupe St
Austin, TX 78751-4224
Mailing address
4225 Guadalupe St
Austin, TX 78751-4224
Phone (737) 204-0089
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.sperorehab.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2141107 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spero Rehabilitation LLC | Multi-Specialty | Current | Accepting new patients |
Locations
4225 Guadalupe St
Austin, TX 78751
Phone (737) 204-0089
Organizations & group practices 1
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": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1558903575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 GUADALUPE ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514224",
"telephone_number": "737-204-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 GUADALUPE ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514224",
"telephone_number": "737-204-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "ALEX",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2141107",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://www.sperorehab.com",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "4225 Guadalupe St",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787514224",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.