Individual provider Active NPI

Brian Michael Lesesky, P.T.

  • Physical Therapist
  • Morrisville, NC
National Provider Identifier
1033217070
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10761 Issued in NC
Practice address
6406 McCrimmon Pkwy
Suite 250
Morrisville, NC 27560-8144
Phone
(919) 467-4558
Fax
(919) 467-4594
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 10761 NC Primary

Addresses

Primary practice location

6406 McCrimmon Pkwy
Suite 250
Morrisville, NC 27560-8144

Mailing address

6406 McCrimmon Pkwy
Suite 250
Morrisville, NC 27560-8144
Phone (919) 467-4558

Other identifiers 1

IdentifierTypeStateIssuer
0010761OtherOHLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10761NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Physical Therapist Past Accepting new patients
Advanced Therapy, PLLC Physical Therapist PastSince Feb 6, 2002 Accepting new patients
Emerson & Anghie LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1033217070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 MCCRIMMON PKWY",
            "address_2": "SUITE 250",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608144",
            "telephone_number": "919-467-4558",
            "fax_number": "919-467-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 MCCRIMMON PKWY",
            "address_2": "SUITE 250",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608144",
            "telephone_number": "919-467-4558",
            "fax_number": "919-467-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESESKY",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "0010761",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.