LESLIE BLAKE NOVOA (NPI# 1245595685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245595685 |
| Entity Type | Individual |
| Full Name | LESLIE BLAKE NOVOA |
| Credential | PT, DPT |
| Practice Address |
2555 Marvin Rd Ne Lacey WA 98516-3138 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3604124200 |
| Practice Fax Number | 3604126465 |
| Mailing Telephone | 3604866508 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2015-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT60291158 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
6934 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2555 MARVIN RD NE |
| City | LACEY |
| State | WA |
| Zip Code | 98516-3138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295615 | Diana E. Velikova | Internal Medicine | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2005-06-16 |
| 1346733649 | Megan Lynn Frasier | Nurse Practitioner | 2555 Marvin Rd Ne, Lacey, WA 98516 | 2018-06-11 |
| 1063913242 | Hillary Marie Brodin | Community Health Worker | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2018-02-23 |
| 1639679806 | Rebecca M Whearty | Community Health Worker | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2018-02-14 |
| 1871007906 | Laboratory Corporation of America | Clinical Medical Laboratory | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2017-11-28 |
| 1710426002 | Kimberley Y Nakai | Nurse Practitioner | 2555 Marvin Rd Ne, Lacey, WA 98516 | 2017-02-20 |
| 1144675133 | Preston Michael Stephens | Family Medicine | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2016-04-27 |
| 1346694403 | Manvi Smith | Psychologist | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516-3138 | 2016-04-14 |
| 1114389962 | Sarah M Kinnard | Nurse Practitioner | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2016-03-22 |
| 1417364761 | Molly Jean Martin | Nurse Practitioner | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im, Lacey, WA 98516-3138 | 2014-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861612335 | Proactive Sportsmed | Physical Therapist | 4200 6th Ave Se Ste 203, Lacey, WA 98503-1042 | 2007-04-26 |
| 1669029328 | Michael Bell | Physical Therapist | 4219 6th Ave Se Ste B, Lacey, WA 98503-1065 | 2019-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1508475674 | Gretchen Stein | Physical Therapist | 17792 147th St Se # 1030, Monroe, WA 98272-1030 | 2020-07-24 |
| 1194358713 | Heather Salzer | Physical Therapist | 1610 Commercial Ave # 1-a, Anacortes, WA 98221-2275 | 2020-02-21 |
| 1851930721 | Arlene Mckinnon | Physical Therapist | 1506 14th St, Port Townsend, WA 98368-8502 | 2019-12-24 |
| 1457992273 | B3 Physical Therapy and Wellness, Pllc | Physical Therapist | 14510 49th Dr Se, Everett, WA 98208-8975 | 2019-10-02 |
| 1154883601 | Mariah Joy Tank | Physical Therapist | 5410 California Ave Sw # 101, Seattle, WA 98136-1562 | 2019-04-03 |
| 1912464918 | Coty Lee Thomas | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-02-26 |
| 1366925075 | Michael Westbrooks | Physical Therapist | 1445 Nw Mall St, Issaquah, WA 98027-7900 | 2018-09-09 |
| 1295244887 | Gregory Lloyd | Physical Therapist | 1407 E 72nd St Ste A100, Tacoma, WA 98404-5906 | 2017-09-26 |
| 1457878035 | Sumner Specialized Physical Therapy, Pllc | Physical Therapist | 212 W Birch Ave, Colville, WA 99114-2440 | 2017-08-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.