LEAH KING (PT) – Physical Therapist, NPI 1134423155

LEAH KING (PT) is a healthcare provider. based in San diego, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT37617 (CA). The NPI Number for LEAH KING (PT) is 1134423155

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
LEAH KING (PT)
NPI
1134423155
Phone
Not provided
Address
4004 WILLAMETTE AVE
Enumeration Date
5 January 2011
Last Update Date
2 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8582994684
Graduation Year
2010 (16 years ago)
PAC ID
4183807050
Group Practice PAC ID
3274446687
Professional Enrollment ID
I20110330000781
Address ID
CA921211019SA11750RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

9,448 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for LEAH KING (PT)

  • 4004 WILLAMETTE AVE

    SAN DIEGO, CA 921173857

    Phone:

    Type: Mailing

  • 5955 MIRA MESA BLVD STE D

    SAN DIEGO, CA 921214304

    Phone: (858) 404-5944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110330000781IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274446687View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-MD

Reviews

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Frequently asked questions

Where can patients find LEAH KING (PT)'s NPI?
You can confirm LEAH KING (PT) with NPI 1134423155; it appears in the national provider directory.
Does this profile mean LEAH KING (PT) is currently active?
Yes — LEAH KING (PT) appears active in the national provider directory.
Can you summarize LEAH KING (PT)'s specialty in plain language?
Clinically, the directory lists LEAH KING (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for LEAH KING (PT)?
The page summarizes San Diego, California for LEAH KING (PT); expand the address list for detail.
How can I contact LEAH KING (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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