Active NPI
Clarissa A. Leonard, MPT, PT, C/NDT
- Physical Therapist
- McAllen, TX
National Provider Identifier
1609935600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1167637
- Practice address
- 7007 N 10TH St
McAllen, TX 78504-3104 - Phone
- (956) 661-0475
- Fax
- (956) 688-6781
- NPI assigned
- Dec 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1167637 | TX | Primary |
Addresses
Primary practice location
7007 N 10TH St
McAllen, TX 78504-3104
Mailing address
7007 N 10TH St
McAllen, TX 78504-3104
Phone (956) 661-0475
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143404501 | Medicaid | TX | |
| 742965954 | Other | TX | FACILITY TAX ID NO. |
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 |
|---|---|---|---|
| 1167637 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Therapeutic Associates, Inc. | Past | Accepting new patients |
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- McAllen, TX
- NPI 1629189246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1609935600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7007 N 10TH ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043104",
"telephone_number": "956-661-0475",
"fax_number": "956-661-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7007 N 10TH ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043104",
"telephone_number": "956-661-0475",
"fax_number": "956-688-6781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "CLARISSA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "MPT, PT, C/NDT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1167637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143404501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY TAX ID NO.",
"identifier": "742965954",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.