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LEAH DANIELLE BOMBASSARO PT, DPT
NPI 1194600957
Physical Therapist - Pediatrics in Fort Myers, FL

Active since August 09, 2025
12820 KENWOOD LN STE 5, FORT MYERS, FL 33907(239) 690-6768 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leah Danielle Bombassaro Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH DANIELLE BOMBASSARO PT, DPT (NPI 1194600957) is an individual pediatrics provider in Fort Myers, Florida, licensed in Florida (PT43513) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1194600957
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameLEAH DANIELLE BOMBASSAROCredential: PT, DPT
Location Address12820 KENWOOD LN STE 5Fort Myers, FL 33907-5617
Mailing Address3771 Little Creek DrFort Myers, FL 33905-6406 · (239) 223-9562
Phone(239) 690-6768
Sole ProprietorYes
Enumeration DateAugust 9, 2025
NPPES CertifiedAugust 9, 2025
✔ NPI 1194600957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in FL · PT43513
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
12820 KENWOOD LN STE 5, Fort Myers, FL 33907
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LITTLE CHAMPS PPEC INC
Clinic/Center (Medically Fragile Infants and Children Day Care)
12820 KENWOOD LN STE 5
FORT MYERS, FL 33907
Lee County (305) 498-7491

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Bombassaro's NPI number?

The NPI number for Leah Bombassaro is 1194600957. It was assigned to this individual provider in the NPPES registry on August 9, 2025.

Where is Leah Bombassaro located?

Leah Bombassaro practices at 12820 Kenwood Ln Ste 5, Fort Myers, FL 33907. The listed phone number is (239) 690-6768.

What is Leah Bombassaro's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Leah Bombassaro was last updated on August 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.