Active NPI
Leovardo Chavez, MPT, DPT, ATC, DN
- Orthopedic Physical Therapist
- Modesto, CA
National Provider Identifier
1972668598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 27941
- Practice address
- 4341 Spyres Way
Modesto, CA 95356-9259 - Phone
- (209) 524-7488
- Fax
- (209) 522-7488
- NPI assigned
- Dec 26, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27941 | CA | |
| Geriatric Physical Therapist | 2251G0304X | 27941 | CA | |
| Sports Physical Therapist | 2251S0007X | 27941 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 27941 | CA | Primary |
Addresses
Primary practice location
4341 Spyres Way
Modesto, CA 95356-9259
Mailing address
PO Box 576751
Modesto, CA 95357
Phone (209) 524-7488
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27941 | CA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1972668598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576751",
"city": "MODESTO",
"state": "CA",
"postal_code": "95357",
"telephone_number": "209-524-7488",
"fax_number": "209-522-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 SPYRES WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569259",
"telephone_number": "209-524-7488",
"fax_number": "209-522-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "LEOVARDO",
"name_prefix": "Dr.",
"credential": "MPT, DPT, ATC, DN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "27941",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "27941",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "27941",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "27941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.