NEW LEAF RECREATION, LLC
NPI 1003707126
Recreation Therapist in Fort Wayne, IN
- Organization
- Recreation Therapist
About NEW LEAF RECREATION, LLC
This page provides the complete NPI Profile along with additional information for New Leaf Recreation, Llc, a provider established in Fort Wayne, Indiana operating as a Recreation Therapist. The healthcare provider is registered in the NPI registry with number 1003707126 assigned on July 2025. The practitioner's primary taxonomy code is 225800000X. The provider is registered as an organization and their NPI record was last updated one year ago. New Leaf Recreation, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Taylor Stieb (Co-owner/recreational Therapist)
- NPI
- 1003707126 Verify this NPI
- Provider Name
- NEW LEAF RECREATION, LLC
- Entity Type
- Organization
- Location Address
- 104 E COLLINS RD FORT WAYNE, IN 46825
- Location Phone
- (260) 267-5425
- Mailing Address
- 104 E COLLINS RD FORT WAYNE, IN 46825
- Mailing Phone
- (260) 267-5425
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2025
- Last Update Date
- 09-09-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Recreation Therapist
- Taxonomy Code
- 225800000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003707126, enumerated as an "organization" on July 15, 2025.
The provider is located at 104 E COLLINS RD FORT WAYNE, IN 46825 and the phone number is (260) 267-5425.
Recreation Therapist with taxonomy code 225800000X.
