Active NPI
Lauren Ashleigh Leiva, DPT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1992351100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34543
- Practice address
- 15049 Bruce B Downs Blvd
Tampa, FL 33647-1388 - Phone
- (813) 563-7668
- NPI assigned
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34543 | FL | Primary |
Addresses
Primary practice location
15049 Bruce B Downs Blvd
Tampa, FL 33647-1388
Mailing address
3220 Coconut Grove Rd
Land O Lakes, FL 34639-6735
Phone (813) 464-0313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | Other | NOT APPLICABLE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | AxeHolisticMedicine.com | Health Information Exchange (HIE) | The Root Cause Clinic |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34543 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exerscience Center | Current | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Lutz, FL
- NPI 1831739606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1992351100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 COCONUT GROVE RD",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346396735",
"telephone_number": "813-464-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15049 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471388",
"telephone_number": "813-563-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIVA",
"first_name": "LAUREN",
"middle_name": "ASHLEIGH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "34543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT APPLICABLE",
"identifier": "0000",
"state": null
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "AxeHolisticMedicine.com",
"affiliation": "Y",
"affiliationName": "The Root Cause Clinic",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "15049 Bruce B Downs Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336471388",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.