Individual provider Active NPI

Javier Omar Leal, MPT

  • Physical Therapist
  • McAllen, TX
National Provider Identifier
1780684662
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1139020 Issued in TX
Practice address
2001 S D St
McAllen, TX 78503-1854
Phone
(956) 686-2242
Fax
(956) 686-3515
NPI assigned
Jul 21, 2005
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1139020 TX Primary

Addresses

Primary practice location

2001 S D St
McAllen, TX 78503-1854

Mailing address

2001 S D St
McAllen, TX 78503-1854
Phone (956) 686-2242

Other identifiers 1

IdentifierTypeStateIssuer
1718629-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000646 TX Practitioner - Physical Therapist in Private Practice 0749237287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Xcell Orthopaedics Institute of Sports Performance, LLCGroup PAC ID 5395080725, 6 clinicians

Practice addresses (Care Compare)

1110 James St
Weslaco, TX 78596-6659
Phone (956) 375-2216

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1139020TXMDPhysical Therapist
113902TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Xcell Orthopaedics Institute of Sports Performance & Rehab Physical Therapist Current Accepting new patients
Valley Spine Medical Center, PA PastSince Jul 21, 2005 Accepting new patients

Locations

2001 S D St
McAllen, TX 78503
Phone (956) 375-2216

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1780684662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S D ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031854",
            "telephone_number": "956-686-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S D ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031854",
            "telephone_number": "956-686-2242",
            "fax_number": "956-686-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "JAVIER",
        "middle_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1139020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718629-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.