Individual provider Active NPI

Gabriella Nicole Leon, PT, DPT

  • Physical Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1952068066
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38088 Issued in FL
Practice address
2917 Tuscany CT Apt 202
Palm Beach Gardens, FL 33410-2864
Phone
(516) 205-3850
NPI assigned
Nov 23, 2021
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38088 FL Primary

Addresses

Primary practice location

2917 Tuscany CT Apt 202
Palm Beach Gardens, FL 33410-2864

Mailing address

4362 Northlake Blvd Ste 214
Palm Beach Gardens, FL 33410-6269
Phone (561) 689-2774

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38088FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1952068066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD STE 214",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106269",
            "telephone_number": "561-689-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 TUSCANY CT APT 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102864",
            "telephone_number": "516-205-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "GABRIELLA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-01-12",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.