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

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