Active NPI
Jennifer Cole Leonard, PT, DPT
- Pediatric Physical Therapist
- Annandale, VA
National Provider Identifier
1902189137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2305207107
- Practice address
- 6715 Little River Tpke Ste 200
Annandale, VA 22003-3546 - Phone
- (703) 879-2479
- NPI assigned
- Sep 23, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2305207107 | VA | Primary |
Addresses
Primary practice location
6715 Little River Tpke Ste 200
Annandale, VA 22003-3546
Mailing address
1528 Mount Eagle PL
Alexandria, VA 22302-2120
Phone (540) 735-4012
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 |
|---|---|---|---|
| 2305207107 | VA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1902189137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 MOUNT EAGLE PL",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223022120",
"telephone_number": "540-735-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6715 LITTLE RIVER TPKE STE 200",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033546",
"telephone_number": "703-879-2479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "JENNIFER",
"middle_name": "COLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "VA",
"license": "2305207107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.