Victoria Marie Leake, PT, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1223538 Issued in TX

Practice address

801 E William Cannon Dr
Ste 225
Austin, TX 78745-6646

Phone

(512) 270-2060

Fax

(512) 270-2061

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Victoria Marie Keith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1831271113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 BALCONES WOODS DR",
            "address_2": "SUITE 306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595273",
            "telephone_number": "512-372-3612",
            "fax_number": "512-372-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WILLIAM CANNON DR",
            "address_2": "STE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456646",
            "telephone_number": "512-270-2060",
            "fax_number": "512-270-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1223538",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT017126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "KEITH",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PT, MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Torri Lynn Leafgreen-Friedmann, LMSW
• John Leahy, MD
• Katelyn Ann Leahy, MS, RDN, LDN
• David Leake, MD
• James Leake
• Erika Leakey, P.A.
• Andrea Leal, P.T.
• Christian Alberto Leal, MD
• Clarissa Leal
• Lauren Leal, LPC-ASSOCIATE

• Orthopedic Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.