Active NPI
Leanza Lopez, DPT
- Physical Therapist
- Everett, WA
National Provider Identifier
1790483246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215608
- Practice address
- 13020 Meridian Ave S Ste 300
Everett, WA 98208-6468 - Phone
- (425) 582-5524
- Fax
- (425) 286-8429
- NPI assigned
- Feb 22, 2023
- Last updated
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 2305215608 | VA | Primary |
Addresses
Primary practice location
13020 Meridian Ave S Ste 300
Everett, WA 98208-6468
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
5115 Leesburg Pike
Falls Church, VA 22041-3207
Phone (703) 824-0701
Other practice location 2
8140 Ashton Ave Ste 104
Manassas, VA 20109-5699
Phone (703) 257-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 88.06
- Improvement activities
- 40
- Cost
- 76.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Jackson Clinics LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Middleburg, VA
- NPI 1427034982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1790483246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13020 MERIDIAN AVE S STE 300",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086468",
"telephone_number": "425-582-5524",
"fax_number": "425-286-8429"
}
],
"practiceLocations": [
{
"address_1": "5115 Leesburg Pike",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220413207",
"country_code": "US",
"telephone_number": "703-824-0701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8140 Ashton Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201095699",
"country_code": "US",
"telephone_number": "703-257-3333",
"fax_number": "703-257-0066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "LEANZA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.