Active NPI
Leonardo Padin Villanueva, DPT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1902668601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT44821
- Practice address
- 3636 University Blvd S Ste A8
Jacksonville, FL 32216-4210 - Phone
- (904) 553-4900
- NPI assigned
- Jan 29, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT44821 | FL | Primary |
Addresses
Primary practice location
3636 University Blvd S Ste A8
Jacksonville, FL 32216-4210
Mailing address
7901 4TH St N # 24927
St Petersburg, FL 33702-4305
Phone (904) 456-9293
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desire Health Care Corp. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Jacksonville, FL
- NPI 1215345160
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1902668601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N # 24927",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "904-456-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 UNIVERSITY BLVD S STE A8",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164210",
"telephone_number": "904-553-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADIN VILLANUEVA",
"first_name": "LEONARDO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-29",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT44821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.