Active NPI
Adrian Leal
- Physical Therapy Assistant
- Corpus Christi, TX
National Provider Identifier
1891451183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2073636
- Practice address
- 4444 Corona Dr Ste 144
Corpus Christi, TX 78411-4322 - Phone
- (361) 854-1110
- NPI assigned
- Nov 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2073636 | TX | Primary |
Addresses
Primary practice location
4444 Corona Dr Ste 144
Corpus Christi, TX 78411-4322
Mailing address
305 NE Loop 820,
Business Tower 1, Suite 200
Hurst, TX 76053
Phone (817) 292-8787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2073636 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Health Services, Inc. | Current | Accepting new patients | |
| Epic Health Services, Inc. | Past | Accepting new patients |
Locations
4444 Corona Dr
Ste 144
Corpus Christi, TX 78411
Phone (361) 854-1110
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.
-
- Home Health Agency
- Corpus Christi, TX
- NPI 1043464571
-
- Home Health Agency
- Houston, TX
- NPI 1407922701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1891451183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NE LOOP 820,",
"address_2": "BUSINESS TOWER 1, SUITE 200",
"city": "HURST",
"state": "TX",
"postal_code": "76053",
"telephone_number": "817-292-8787",
"fax_number": "817-789-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 CORONA DR STE 144",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114322",
"telephone_number": "361-854-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL",
"first_name": "ADRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2073636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.