Individual provider Active NPI

Leighton Aaron Peavler, D.P.T.

  • Physical Therapist
  • Clearwater, FL
National Provider Identifier
1972940690
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
188 Issued in VI
Practice address
3700 Ulmerton Rd Ste 204
Clearwater, FL 33762-4235
Phone
(217) 474-5225
Fax
(727) 624-6595
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 188 VI Primary

Addresses

Primary practice location

3700 Ulmerton Rd Ste 204
Clearwater, FL 33762-4235

Mailing address

3700 Ulmerton Rd Ste 204
Clearwater, FL 33762-4235
Phone (727) 490-8262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190806001564 FL Practitioner - Physical Therapist in Private Practice 2961639554

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3700 Ulmerton Rd
Suite 204
Clearwater, FL 33762-4235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
FL Physio LLC Physical Therapist CurrentSince May 26, 2019 Accepting new patients

Locations

3700 Ulmerton Rd
Ste 204
Clearwater, FL 33762
Phone (727) 490-8262

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.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1972940690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ULMERTON RD STE 204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337624235",
            "telephone_number": "727-490-8262",
            "fax_number": "727-324-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ULMERTON RD STE 204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337624235",
            "telephone_number": "217-474-5225",
            "fax_number": "727-624-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVLER",
        "first_name": "LEIGHTON",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VI",
            "license": "188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.