Organization Active NPI

Innovative Mobile Therapy

  • Physical Therapy Clinic/Center
  • Tiffin, OH
National Provider Identifier
1952265498
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
INNOVATIVE MOBILE THERAPY
Practice address
4423 E County Road 36
Tiffin, OH 44883-9727
Phone
(419) 210-5311
NPI assigned
Dec 10, 2025
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Lucas Trent Leppla, PT, DPTNPI 1215221023
Title
Owner/Physical Therapist
Phone
(419) 210-5311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

4423 E County Road 36
Tiffin, OH 44883-9727

Mailing address

4423 E County Road 36
Tiffin, OH 44883-9727
Phone (419) 210-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260305002991 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628550845 Receives reassigned benefits from 1 practitioner
Practice locations: Tiffin, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1952265498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 E COUNTY ROAD 36",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448839727",
            "telephone_number": "419-210-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 E COUNTY ROAD 36",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448839727",
            "telephone_number": "419-210-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MOBILE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "LEPPLA",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "419-210-5311",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.