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

Leandro Modenese Bastos, PTDPT

Individual provider Physical Therapist · NPI 1679045546

Leandro Modenese Bastos, PTDPT is a Physical Therapist in Private Practice in Spokane Valley, Washington. Qualified in 2018, 8 years ago. Practices with Sports Lab and Physical Therapy, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

12403 E 1st Ave
Spokane Valley, WA 99216-0702
Phone: (509) 370-7597
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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 296037 (CA)

Record details

NPI number1679045546
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sports Lab And Physical Therapy, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spokane Valley