Individual provider Active NPI

Leslie Gimbel, DPT

  • Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1033548003
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010496 Issued in GA
Practice address
1750 Founders Pkwy Ste 126
Alpharetta, GA 30009-7600
Phone
(770) 442-0727
Fax
(770) 343-9607
NPI assigned
Nov 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010496 GA Primary

Addresses

Primary practice location

1750 Founders Pkwy Ste 126
Alpharetta, GA 30009-7600

Mailing address

1750 Founders Pkwy Ste 126
Alpharetta, GA 30009-7600
Phone (770) 442-0727

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Fulton Physical Therapy and Sports Medicine, Inc. Physical Therapist CurrentSince Apr 10, 2022 Accepting new patients

Locations

1750 Founders Pkwy
Ste 126
Alpharetta, GA 30009
Phone (678) 624-9117

1355 Hembree Rd
Roswell, GA 30076
Phone (770) 442-0727

Organizations & group practices 1

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": "1384041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1033548003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 FOUNDERS PKWY STE 126",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097600",
            "telephone_number": "770-442-0727",
            "fax_number": "770-343-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 FOUNDERS PKWY STE 126",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097600",
            "telephone_number": "770-442-0727",
            "fax_number": "770-343-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBEL",
        "first_name": "LESLIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-10",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "010496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.