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

Leide Santos, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1225635915

Leide Santos, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Newark, New Jersey. Qualified in 2020, 6 years ago. Practices with Theraphysical LLC, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

1119 Broad St
Newark, NJ 07114-2501
Phone: (929) 333-0882
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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 40QA01940500 (NJ)

Record details

NPI number1225635915
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedOctober 6, 2020
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Theraphysical Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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