Crystal Odessa Leonard

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

Practice address

183 Seabreeze CT
Newnan, GA 30265-5572

Phone

(317) 847-8836

NPI assigned

Sep 28, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Better Days Recreation Therapy

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Newnan, GA
  • NPI 1497354526
  NPD

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1861009516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 SEABREEZE CT",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655572",
            "telephone_number": "317-847-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 SEABREEZE CT",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655572",
            "telephone_number": "317-847-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "CRYSTAL",
        "middle_name": "ODESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "261QS100X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Legault, B.S., D.C, C.S.C.S
• Dereje Seyoum Legesse, MD
• Cynthia Correll Leggett, BSPHARM
• Wesley L. Leigh, M.D.
• Kathleen C Leoffler, NURSE PRACTITIONER
• Donna K Leonard, SLP
• Zoey Lepard
• Essence Lester, RBT
• Level Four Orthotics & Prosthetics, Inc.
• Joseph Paul Levine, MASSAGE THERAPIST

• Psychologist in Newnan, GA
• Providers in Newnan, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.