Individual provider Active NPI

Leslie Munoz

  • Orthopedic Physical Therapist
  • San Francisco, CA
National Provider Identifier
1629895552
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
306568 Issued in CA
Practice address
550 15TH St Ste 36a
San Francisco, CA 94103-5032
Phone
(415) 701-1000
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 306568 CA Primary

Addresses

Primary practice location

550 15TH St Ste 36a
San Francisco, CA 94103-5032

Mailing address

50 W 38TH Ave
San Mateo, CA 94403-4545
Phone (650) 520-9874

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121003860 CA Practitioner - Physical Therapist in Private Practice 2163957564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of California, San Francisco School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Bar IncGroup PAC ID 2163451634, 12 clinicians

Practice addresses (Care Compare)

550 15TH St
Suite 36a
San Francisco, CA 94103-5032
Phone (415) 682-9902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306568CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Bar, Inc. Orthopedic CurrentSince Oct 1, 2024 Accepting new patients

Locations

550 15th St
Ste 36A
San Francisco, CA 94103
Phone (415) 682-9902

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1629895552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 38TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034545",
            "telephone_number": "650-520-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 15TH ST STE 36A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035032",
            "telephone_number": "415-701-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "306568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.