Organization Active NPI

Leib Physical Therapy PC

  • Sports Physical Therapist
  • Venice, CA
National Provider Identifier
1639028483
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
LEIB PHYSICAL THERAPY PC
Practice address
711 Hampton Dr # 2
Venice, CA 90291-3018
Phone
(562) 321-8069
NPI assigned
Jan 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Dr. Daniel Leib, PT, DPTNPI 1902299852
Title
Owner
Phone
(360) 710-7144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X Primary

Addresses

Primary practice location

711 Hampton Dr # 2
Venice, CA 90291-3018

Mailing address

711 Hampton Dr # 2
Venice, CA 90291-3018
Phone (562) 321-8069

Other names 1

  • Prehab2Perform Doing business as

National Provider Directory

National Provider Directory

Locations

711 Hampton Dr
#2
Venice, CA 90291
Phone (360) 710-7144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1639028483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 HAMPTON DR # 2",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913018",
            "telephone_number": "562-321-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HAMPTON DR # 2",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913018",
            "telephone_number": "562-321-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIB PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "LEIB",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-710-7144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prehab2Perform",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.