Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Leake, DPT

Individual provider Physical Therapist · NPI 1710876271

Jaclyn Leake, DPT is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2022, 4 years ago. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

8035 E Brown Rd
Mesa, AZ 85207-3901
Phone: (520) 727-1868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 32444 (AZ)

Record details

NPI number1710876271
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address8035 E Brown Rd, Mesa, AZ 85207-3901

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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