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

Mr. Leo Tagbar Sumatra

Individual provider Geriatric Physical Therapist · NPI 1497017578

Mr. Leo Tagbar Sumatra is a Geriatric Physical Therapist in Mount Juliet, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2012
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Practice location Address checks out

13135 Lebanon Rd
Mount Juliet, TN 37122-2873
Phone: (615) 554-9224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PT1965 (TN)

Record details

NPI number1497017578
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 13, 2012
Last updated in NPPESJune 13, 2012
Mailing address13135 Lebanon Rd, Mount Juliet, TN 37122-2873

Other providers in Mount Juliet