Robert Bernard Leavitt, PT, MPT, OCS, JSCC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21538 Issued in CA

Practice address

795 Farmers LN
Ste 10
Santa Rosa, CA 95405-6718

Phone

(707) 571-7615

Fax

(707) 571-8601

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Stithem and Johnson Physical Therapy IncGroup PAC ID 7214836600, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.85 of 100Reported as group

Quality

80

Improvement activities

40

Cost

79.49

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stithem & Johnson Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Santa Rosa, CA
  • NPI 1831386838

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Stithem & Johnson Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Santa Rosa, CA
  • NPI 1982689675

  Physical Therapist

  NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1932275260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 FARMERS LN",
            "address_2": "STE 10",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056718",
            "telephone_number": "707-571-7615",
            "fax_number": "707-571-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 FARMERS LN",
            "address_2": "STE 10",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056718",
            "telephone_number": "707-571-7615",
            "fax_number": "707-571-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "ROBERT",
        "middle_name": "BERNARD",
        "credential": "PT, MPT, OCS, JSCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Chen Le, O.D.
• Nicole N Le, DDS
• Jillian Leach, RN
• Jodel Leano
• Jessica Leavitt, NP
• Zachary Lechler
• Abigail Lecomte, M.A., CCC-SLP
• Marissa Jeanne Lecount
• Bradly S Ledbetter
• Richard Barry Lederman, MD

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.