Leanne Komoda

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297332 Issued in CA

Practice address

138 Pierre Rd
Walnut, CA 91789-2531

Phone

(909) 468-0438

Fax

(909) 992-3303

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walnut Physical Therapy and Performance PCGroup PAC ID 7012263759, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Walnut Physical Therapy and Performance P.C.

  • Physical Therapy Clinic/Center
  • Walnut, CA
  • NPI 1114417938
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1700435716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PIERRE RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PIERRE RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892531",
            "telephone_number": "909-468-0438",
            "fax_number": "909-992-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 Warner Ave Ste 117",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927083846",
            "country_code": "US",
            "telephone_number": "714-594-3972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMODA",
        "first_name": "LEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2022-08-10",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandan James King, DPT
• Aaron Koay, MS, BCBA
• Alena Koay, ATC
• Alisa Chia-Ling Koay
• Lilly Chan Koh, DPT
• Rashmi Kumra, DDS
• James Kuo
• Alexandria Alicia Lacayo, MS, ATC
• Jessica Lai
• Karin Sue Lampman, PT

• Physical Therapist in Walnut, CA
• Providers in Walnut, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.