Individual provider Active NPI

Carrie M Leavitt, PT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1821203076
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1176068 Issued in TX
Practice address
4888 Loop Central Dr Ste 200
Houston, TX 77081-2227
Phone
(713) 838-9050
Fax
(713) 838-0926
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 1176068 TX Primary

Addresses

Primary practice location

4888 Loop Central Dr Ste 200
Houston, TX 77081-2227

Mailing address

4888 Loop Central Dr Ste 200
Houston, TX 77081-2227
Phone (713) 838-9050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1176068TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals of Greater Houston Inc. CurrentSince Apr 11, 2021 Accepting new patients
Easter Seals of Greater Houston, Inc. PastSince Nov 24, 2019 Accepting new patients

Locations

4500 Bissonnet St
Ste 340
Bellaire, TX 77401
Phone (713) 838-9050

4888 Loop Central Dr
Ste 200
Houston, TX 77081
Phone (713) 838-9050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1821203076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812227",
            "telephone_number": "713-838-9050",
            "fax_number": "713-838-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812227",
            "telephone_number": "713-838-9050",
            "fax_number": "713-838-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "CARRIE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1176068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.