MEDICARE: DR. LEAH DRAKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT43853	FL

General Provider Information

NPI Number	:	1063358760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH DRAKE

Provider Business Mailing Address
First Line	:	5001 BRIDGE ST APT 1708
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-3244
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4230 S MACDILL AVE STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-1901
Country	:	US
Telephone Number	:	813-328-2957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2026
Last Update Date	:	04/25/2026

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Directions to “ DR. LEAH DRAKE ” Practice Location

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