MR. LEO TAGBAR SUMATRA
NPI 1497017578
Physical Therapist - Geriatrics in Mount Juliet, TN

Q: What is Leo Sumatra's NPI number?

The NPI number for Leo Sumatra is 1497017578. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Q: What is Leo Sumatra's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Leo Sumatra was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since June 13, 2012

13135 LEBANON RD, MOUNT JULIET, TN 37122(615) 554-9224 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Leo Tagbar Sumatra NPPES

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

MR. LEO TAGBAR SUMATRA (NPI 1497017578) is an individual geriatrics provider in Mount Juliet, Tennessee, licensed in Tennessee (PT1965) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1497017578

Entity TypeIndividualMale

Primary Taxonomy2251G0304X

Provider Legal NameMR. LEO TAGBAR SUMATRA

Location Address13135 LEBANON RDMount Juliet, TN 37122-2873

Mailing Address13135 Lebanon RdMount Juliet, TN 37122-2873 · (615) 554-9224

Phone(615) 554-9224

Sole ProprietorYes

Enumeration DateJune 13, 2012

✔ NPI 1497017578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in TN · PT1965

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

13135 LEBANON RD, Mount Juliet, TN 37122

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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 Leo Sumatra's NPI number?

The NPI number for Leo Sumatra is 1497017578. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Leo Sumatra located?

Leo Sumatra practices at 13135 Lebanon Rd, Mount Juliet, TN 37122. The listed phone number is (615) 554-9224.

What is Leo Sumatra's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Leo Sumatra was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.