Active NPI
Carla Ann Leyen, MSPT, MOMT
- Physical Therapist
- Saint Marys, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CPO37378T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CPO37378T | GA | MD | Physical Therapist |
| 02243 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | 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 | Past | Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Past | 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.
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Pediatrics Physician
- Olympia, WA
- NPI 1831609775
-
- Durable Medical Equipment & Medical Supplies
- Jasper, GA
- NPI 1164115671
Physical Therapist
-
- Physical Therapist
- Saint Marys, GA
- NPI 1235434283
-
- Physical Therapist
- Des Moines, IA
- NPI 1255385852
-
- Physical Therapist
- Independence, IA
- NPI 1336193986
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.