Individual provider Active NPI

Julie E Leonard, PT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1588737282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21086 Issued in FL
Practice address
5263 Golden Gate Pkwy
Unite E
Naples, FL 34116-7601
Phone
(239) 352-9884
Fax
(239) 352-8610
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT21086 FL Primary

Addresses

Primary practice location

5263 Golden Gate Pkwy
Unite E
Naples, FL 34116-7601

Mailing address

15760 Marcello Cir
Naples, FL 34110-2841
Phone (239) 398-4607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000411 FL Practitioner - Physical Therapist in Private Practice 3173627395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylife Physical Therapy and Rehabilitation IncGroup PAC ID 9133170095, 17 clinicians

Practice addresses (Care Compare)

10201 Arcos Ave
Suite 204
Estero, FL 33928-9461
Phone (724) 223-2061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baylife Physical Therapy & Rehabilitation Inc Single Specialty CurrentSince Jan 12, 2017 Accepting new patients
Bayonne Physical Therapy Inc Single Specialty PastSince May 8, 2020 Accepting new patients
Baylife Physical Therapy & Rehabilitation, Inc. Past Accepting new patients
Bayonne Physical Therapy Inc Single Specialty Past Accepting new patients

Locations

10201 Arcos Ave
Ste 204
Estero, FL 33928
Phone (724) 223-2061

8950 Dr Ml King Jr St N
Ste 101
St Petersburg, FL 33702
Phone (727) 520-0800

470 Johnson Rd
Ste 100
Washington, PA 15301

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588737282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15760 MARCELLO CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102841",
            "telephone_number": "239-398-4607",
            "fax_number": "239-352-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 GOLDEN GATE PKWY",
            "address_2": "UNITE E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167601",
            "telephone_number": "239-352-9884",
            "fax_number": "239-352-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "JULIE",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.