| Toshio Raul Leeper, PT | |
|
1460 Drew Ave Ste 200, Davis, CA 95618-4856 | |
| (530) 753-9011 | |
| (530) 753-9021 |
| Full Name | Toshio Raul Leeper |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 1460 Drew Ave Ste 200, Davis, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689017725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT39939 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physical Edge, Inc. | 7214990399 | 9 |
| Provider Name | Physical Edge, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770675639 PECOS PAC ID: 7214990399 Enrollment ID: O20041109001110 |
| Mailing Address | Practice Location Address |
|---|---|
| Toshio Raul Leeper, PT 1460 Drew Ave Ste 200, Davis, CA 95618-4856 Ph: (530) 753-9011 | Toshio Raul Leeper, PT 1460 Drew Ave Ste 200, Davis, CA 95618-4856 Ph: (530) 753-9011 |
Samantha Jordan Moore, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1460 Drew Ave Ste 200, Davis, CA 95618 Phone: 530-304-5169 Fax: 530-753-9021 | |
Audrey Mott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter Ste 200, Davis, CA 95616 Phone: 530-758-2222 | |
Alyssa Borchert, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1500 Shasta Dr Apt 135, Davis, CA 95616 Phone: 808-292-1051 | |
Daniel Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 Ponteverde Ln, Davis, CA 95618 Phone: 530-758-1508 Fax: 530-758-1508 | |
Jolie Gonzalez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter, Suite 200, Davis, CA 95616 Phone: 530-758-2222 | |
Dr. Leigh Quill, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 | |
Jennifer Ferguson Rhoads, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 |