Active NPI
Claire Leboulenge
- Physical Therapist
- Winter Haven, FL
National Provider Identifier
1639488935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25048
- Practice address
- 150 Avenue B SE
Winter Haven, FL 33880-3037 - Phone
- (863) 294-1429
- Fax
- (863) 298-0299
- NPI assigned
- Oct 4, 2010
- 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 | PT25048 | FL | Primary |
Addresses
Primary practice location
150 Avenue B SE
Winter Haven, FL 33880-3037
Mailing address
8016 Princeton Dr
Naples, FL 34104-6666
Phone (530) 927-7022
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Health O T PLLC | Current | 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.
-
- Occupational Therapist
- Naples, FL
- NPI 1699528935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1639488935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8016 PRINCETON DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341046666",
"telephone_number": "530-927-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 AVENUE B SE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803037",
"telephone_number": "863-294-1429",
"fax_number": "863-298-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBOULENGE",
"first_name": "CLAIRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.