Jaclyn Leake, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32444 Issued in AZ

Practice address

8035 E Brown Rd
Mesa, AZ 85207-3901

Phone

(520) 727-1868

NPI assigned

Jun 30, 2025

Sex

Female

Sole proprietor

No

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 AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

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.

• Montecito Outpatient Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Mesa, AZ
  • NPI 1578459673

  Physical Therapist

  Medicare reassignment NPD
• Phoenix Mountain Therapy LLC

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1053122689
  Medicare reassignment NPD

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1710876271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073901",
            "telephone_number": "520-727-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "JACLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syerra N Lea, DO
• Corey Thomas Leach, OD
• Jennifer Leach, PT
• Kimberly A Leach, DPM
• Leading MDS Foundation Inc.
• Lia Leal Torres
• Lizbeth Leal
• Mallory Ann Leatham, M.S. SLP
• Isela Garcia Leavitt, RDH
• Randy H Leavitt, M.D.

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.