Individual provider Active NPI

Carla Ann Leyen, MSPT, MOMT

  • Physical Therapist
  • Saint Marys, GA
National Provider Identifier
1982777025
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CPO37378T Issued in GA
Practice address
100 Lindsey LN Ste a
Saint Marys, GA 31558-1727
Phone
(912) 729-1333
Fax
(912) 729-5259
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 02243 IA
Physical Therapist 225100000X CPO37378T GA Primary

Addresses

Primary practice location

100 Lindsey LN Ste a
Saint Marys, GA 31558-1727

Mailing address

802 Park St
Reinbeck, IA 50669-1224
Phone (319) 345-2963

Other practice location 1

2300 Swan Lake Blvd
Suite 103
Independence, IA 50644-9707
Phone (319) 334-5155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924003029 WA Practitioner - Physical Therapist in Private Practice 9032553854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health System 2,312 clinicians

Practice addresses (Care Compare)

16101 64TH St E
Sumner, WA 98390-3069
Phone (253) 372-7033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CPO37378TGAMDPhysical Therapist
02243IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Aug 28, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Aug 28, 2025 Accepting new patients
Millennium Rehab & Consulting, Inc. Physical Therapist Past Accepting new patients
Multicare Health System Physical Therapist Past Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Dec 8, 2024 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Dec 8, 2024 Accepting new patients
Millennium Rehab & Consulting, Inc. Physical Therapist Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

16101 64th St E
Sumner, WA 98390
Phone (253) 750-0453

Organizations & group practices 8

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1982777025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 PARK ST",
            "city": "REINBECK",
            "state": "IA",
            "postal_code": "506691224",
            "telephone_number": "319-345-2963",
            "fax_number": "319-334-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINDSEY LN STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581727",
            "telephone_number": "912-729-1333",
            "fax_number": "912-729-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Swan Lake Blvd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "IA",
            "postal_code": "506449707",
            "country_code": "US",
            "telephone_number": "319-334-5155",
            "fax_number": "319-334-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYEN",
        "first_name": "CARLA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSPT, MOMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02243",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CPO37378T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.