DR. BRYAN LEAKE (PT, DPT) – Physical Therapist, NPI 1790264356

Physical Therapist

DR. BRYAN LEAKE (PT, DPT) is a healthcare provider. based in Stafford, Virginia. specializing in Physical Therapist. They hold the professional credentials PT, DPT. They hold a License No. 2305212204 (VA). The NPI Number for DR. BRYAN LEAKE (PT, DPT) is 1790264356

Main info

Male

8 Years Of Experience

Accepts Medicare Assignment

Name

DR. BRYAN LEAKE (PT, DPT)

NPI

1790264356

Phone

(540) 659-6408

Address

572 GARRISONVILLE RD

Enumeration Date

14 August 2018

Last Update Date

14 August 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5403733031

Graduation Year

2018 (8 years ago)

PAC ID

4688913791

Group Practice PAC ID

7214841303

Professional Enrollment ID

I20190307002777

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience28

Completeness75

Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BRYAN LEAKE (PT, DPT)

572, Garrisonville Road, Stafford County, Virginia, 22554, United States
STAFFORD, VA 225543702
Phone: (540) 659-6408
Type: Location
PO BOX 588
GARRISONVILLE, VA 224630588
Phone: (540) 659-6408
Fax: (540) 659-6445
Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 22554)

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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: 7214841303View full group profile

Name	Specialty	State
BARBARA EHMAN (PT)	Physical Therapist In Private Practice	VA
MARSHALL RENNIE (DPT)	Physical Therapist In Private Practice	VA
RYAN SIVAK	Physical Therapist In Private Practice	VA
KASH EAGLETON (OPT)	Physical Therapist In Private Practice	VA