Active NPI
Leigh Jaye Gardner, PT
- Physical Therapist
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008978
- Practice address
- 320 Pacific PL
Mount Vernon, WA 98273-5463 - Phone
- (360) 416-7570
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PT00008978 | WA | Primary |
Addresses
Primary practice location
320 Pacific PL
Mount Vernon, WA 98273-5463
Mailing address
1201 11TH St Apt 308
Bellingham, WA 98225-7065
Phone (360) 738-8269
Other practice location 1
4545 Cordata Pkwy Ste Ll4
Bellingham, WA 98226-7263
Phone (360) 752-5622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8443475 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1115 SE 164TH Ave Dept
Suite 358
Vancouver, WA 98683-8004
4545 Cordata Pkwy
Bellingham, WA 98226-7123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00008978 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Past | Accepting new patients | |
| Skagit Preschool Association and Resource Center | Past | Accepting new patients | |
| Jenna Lisenby, DPT, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Valley Kids Therapy
- Pediatric Physical Therapist
- Mount Vernon, WA
- NPI 1891096194
-
- Speech-Language Pathologist
- Mount Vernon, WA
- NPI 1720286586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1710020326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 11TH ST APT 308",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982257065",
"telephone_number": "360-738-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 PACIFIC PL",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735463",
"telephone_number": "360-416-7570"
}
],
"practiceLocations": [
{
"address_1": "4545 Cordata Pkwy Ste Ll4",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982267263",
"country_code": "US",
"telephone_number": "360-752-5622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "LEIGH",
"middle_name": "JAYE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8443475",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.