Samantha Leal, DC, ATC, CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011874 Issued in PA

Practice address

2824 Cottman Ave Ste 18And20
Philadelphia, PA 19149-1400

Phone

(215) 624-6100

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1679924070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 N HOWARD ST APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 COTTMAN AVE STE 18AND20",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491400",
            "telephone_number": "215-624-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "SAMANTHA",
        "credential": "DC, ATC, CCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT008329",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon E Leahy, PA-C
• John V Leahy, CRNA
• Kevin Patrick Leahy, M.D.
• Nancy Leahy, CRNP
• Peter Christner Leahy, MD
• Timothy Jon Leaman, M.D.
• Christopher Michael Leander, M.D.
• Sann Leang, RPH
• Leap With Faith Homecare, LLC
• Karen Leary, RN

• Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.